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Isjworowati, Rr. Sri Isjworowati; Isjworowati, Rr. Sri; Fatma M, Nida; Delima, Rainy; Gaura JW, Raz

Perigel: Jurnal Penyuluhan Masyarakat Indonesia 2026 Universitas 17 Agustus 1945 Semarang

Non-Communicable Diseases (NCDs) such as Diabetes Mellitus and Gout pose a serious threat to the health of the elderly due to their often asymptomatic nature. Cost barriers hinder the elderly community from accessing laboratory services. This community service activity aims to improve health standards and early detection of NCDs through monitoring blood glucose and uric acid levels in the Generasi Kaleb community of the JKI Injil Kerajaan Church, Semarang. The Participatory Health Screening and Education method used includes health education, screening using the Point of Care Testing (POCT) tool, and personal consultation on the results. The service subjects were 50 elderly respondents. The examination results showed a prevalence of abnormal random blood glucose (GDS) of 8%, 32%, had high uric acid levels with a maximum value of 10.3 mg/dL. This activity successfully transformed the elderly's awareness from subjective perception to awareness based on objective data, and encouraged community independence in managing a healthy lifestyle to prevent further NCD complications. .

Ispandiyah, Woro; Sularsih Endartiwi, Sri; Wijayanti, Nor

jurnal ABDIMAS Indonesia 2026 STIKes Ibnu Sina Ajibarang

Penyakit tidak menular (PTM) merupakan penyebab utama kematian secara global dan menunjukkan peningkatan pada kelompok remaja. Rendahnya pengetahuan terkait faktor risiko PTM menjadi salah satu penyebab munculnya perilaku tidak sehat. Kegiatan pengabdian masyarakat ini bertujuan untuk meningkatkan pengetahuan remaja tentang pencegahan faktor risiko PTM melalui edukasi kesehatan. Metode yang digunakan adalah pre-experimental dengan desain one group pretest-posttest pada santri di pondok pesantren Harun Assyafi’i Bantul. Intervensi dilakukan melalui ceramah interaktif dan media visual. Data dikumpulkan menggunakan kuesioner sebelum dan sesudah edukasi. Hasil menunjukkan peningkatan rata-rata skor pengetahuan dari 51,36 menjadi 79,73. Hal ini menunjukkan bahwa edukasi kesehatan efektif dalam meningkatkan pengetahuan remaja terkait pencegahan PTM. Program edukasi kesehatan perlu dilakukan secara berkelanjutan di lingkungan sekolah untuk mendorong perubahan perilaku jangka panjang. Studi ini juga mendukung penerapan teori perilaku seperti Model Keyakinan Kesehatan dan PRECEDE-PROCEED dalam merancang intervensi yang efektif.

Nadya Gusva

VitaMedica : Jurnal Rumpun Kesehatan Umum 2026 STIKES Columbia Asia Medan

Hypertension is a major non-communicable disease burden in rural Acehnese communities. Family support plays a critical role in long-term blood pressure control; however, the lived experiences of families caring for hypertensive members in Posbindu PTM settings remain underexplored. This study aimed to explore the meaning and forms of family role and social support in hypertension management among Posbindu PTM participants in Meunasah Timu Village, Aceh. Methods: A descriptive phenomenological design using Colaizzi's method was employed. Twelve family members of hypertensive patients were recruited purposively from Posbindu PTM, Desa Meunasah Timu. In-depth face-to-face interviews were conducted until data saturation. Trustworthiness was ensured through member checking, peer debriefing, and audit trail. Results: Three themes emerged: (1) Emotional and instrumental family support as a cornerstone of hypertension control; (2) Cultural and religious values as mediators of caregiving behavior; and (3) Barriers to consistent family involvement including knowledge deficits and caregiving fatigue. Conclusion: Family support is multidimensional and culturally embedded in hypertension management. Community health nurses and Posbindu PTM programs should integrate family-centered interventions that address knowledge gaps and caregiver well-being to optimize blood pressure control outcomes.

Ni Made Laksmi Devi Jayanti. P; Made Suadnyani Pasek

Jurnal Riset Rumpun Ilmu Kedokteran 2026 Pusat riset dan Inovasi Nasional

Non-communicable diseases (NCDs) are chronic health conditions that affect not only physical but also psychological well-being, including increased anxiety. Untreated anxiety can reduce quality of life and treatment adherence. Acupressure, as a form of complementary therapy, offers a safe and non-invasive approach to managing anxiety. This narrative review aims to evaluate the effectiveness of acupressure in reducing anxiety among patients with NCDs. Articles were searched using Google Scholar with keywords such as "acupressure", "anxiety", and various chronic diseases. Six studies with experimental and quasi-experimental designs were selected based on inclusion criteria, involving patients with cancer, chronic kidney disease, and osteoarthritis. The findings consistently demonstrated that acupressure reduced anxiety levels, whether performed by a therapist or self-administered, with commonly used points including ST36, LI4, and PC6. This review concludes that acupressure is an effective complementary therapy that can be incorporated into holistic care strategies for anxiety management in patients with NCDs.

Asma Karima Amir; Imron Rossidy

jurnal Riset Rumpun Agama dan Filsafat 2026 Pusat Riset dan Inovasi Nasional

This study aims to examine K.H. Ahmad Dahlan's thoughts on the integration of Islam and science and its application at Muhammadiyah University Malang. The background of this study is the challenge of modern Islamic education, where religious and general knowledge are often separated, while Ahmad Dahlan emphasizes the need for synergy between the two to shape a generation of Muslims who are faithful, knowledgeable, and moral. This study uses a qualitative approach with a literature review method, utilizing primary and secondary literature as well as UMM academic documents. Descriptive-analytical analysis was conducted to understand Ahmad Dahlan's philosophical foundations and to examine their implementation through the curriculum, AIK courses, and academic and non-academic activities. The results of the study show that Ahmad Dahlan's thinking forms a solid foundation for the integration of religious and general knowledge, while its implementation at UMM is reflected in the strengthening of Islamic values throughout the academic process. In conclusion, the integration of Islam and science at PTM shapes individuals who are balanced between faith, knowledge, and deeds, and serves as a model of Islamic education that is adaptive to the demands of modern times.

Susy Olivia Lontoh; Song, Chrismerry; Ernawati Ernawati

Jurnal Hasil Kegiatan Bersama Masyarakat 2025 Asosiasi Riset Ekonomi dan Akuntansi Indonesia

Non-communicable diseases (NCDs) are the leading causes of morbidity and mortality, particularly among older adults. Integrated Development Posts for Non-Communicable Diseases (Pos Pembinaan Terpadu Penyakit Tidak Menular / Posbindu PTM) play a crucial role in the early detection of NCD risk factors at the community level. This activity aimed to conduct NCD risk factor screening through the measurement of blood pressure, random blood glucose, total cholesterol, and uric acid levels, as well as to provide health consultations for participants of Posbindu Rosella, South Kembangan. The activity was conducted in November 2025 using a descriptive design. A total of 30 Posbindu participants were involved. Health examinations included blood pressure, random blood glucose, total cholesterol, and uric acid measurements. Data were analyzed descriptively and classified into normal and abnormal categories based on clinical guidelines. The majority of participants were female (80%), with a mean age of 60.5 ± 9.7 years. The mean systolic blood pressure was within the hypertensive range. Approximately 50% of participants had impaired glucose regulation, 60% experienced hyperuricemia, and 40% had total cholesterol levels classified as borderline or higher.  Health screening activities at Posbindu revealed a high prevalence of NCD risk factors among participants. Posbindu plays an essential role in early detection and community-based prevention of non-communicable diseases.

Rayanti, Rosiana Eva; Natalia, Theresia Destin; Noya, Wilda Pascalia; Natawirarindry, Catherine; Yanto, Oliviani +2 more

Jurnal Pengabdian Kepada Masyarakat Sisthana 2025 Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Latar Belakang: Penyakit Tidak Menular (PTM) merupakan salah satu masalah kesehatan utama di Indonesia yang berdampak besar terhadap kualitas hidup masyarakat, termasuk mereka yang tinggal di wilayah pedesaan. Upaya pencegahan dan peningkatan kesadaran dini melalui pemeriksaan kesehatan rutin menjadi strategi dalam menurunkan risiko PTM pada berbagai kelompok usia. Tujuan: Kegiatan pengabdian kepada masyarakat ini bertujuan untuk melakukan pemeriksaan kesehatan guna mendeteksi faktor risiko PTM melalui pengukuran kadar asam urat, kolesterol, glukosa darah, tekanan darah, serta pengukuran antropometrik (berat badan dan tinggi badan). Metode: Kegiatan dilaksanakan melalui kolaborasi antara kampus dan Posbindu di Desa Ngrawan, Jawa Tengah pada bulan Juli-September 2024. Pemeriksaan dilakukan terhadap tekanan darah, kadar glukosa, asam urat, kolesterol, berat, dan tinggi badan. Data dianalisis secara deskriptif untuk memetakan risiko PTM pada kelompok usia produktif dan lanjut usia. Hasil: Sebanyak 70 warga mengikuti pemeriksaan, terdiri atas 59% usia lanjut dan 41% usia produktif, dengan mayoritas perempuan (90%). Sebagian besar kadar asam urat dan glukosa normal, namun ditemukan kolesterol tinggi pada usia produktif (45%) dan lanjut usia (67%), serta hipertensi pada kedua kelompok (66% dan 59%). Kesimpulan: Kegiatan kolaboratif antara kampus dan Posbindu di Desa Ngrawan menunjukkan partisipasi masyarakat yang tinggi serta mengungkap potensi risiko hipertensi dan kolesterol tinggi. Sinergi ini menegaskan kebutuhan penguatan kader dan keberlanjutan Posbindu dalam deteksi dini dan pencegahan PTM di pedesaan.

Mujiburrahman Mujiburrahman

Jurnal Riset Rumpun Ilmu Kesehatan 2025 Pusat riset dan Inovasi Nasional

Non-Communicable Diseases (NCDs) are the leading cause of death globally. The Posbindu PTM program serves as an initiative for early detection and prevention of NCDs through community empowerment. This study aims to analyze the factors influencing the utilization of the Posbindu PTM program in the working area of Palibelo Health Center, Bima Regency. This quantitative research used a cross-sectional approach, involving 100 purposively selected respondents. Data were analyzed using the chi-square test. The results showed that education level and knowledge significantly affected the utilization of Posbindu services (p < 0.05). Respondents with higher education and better knowledge were more likely to use Posbindu services actively. However, lack of information and inadequate socialization were identified as major barriers to optimal utilization. Strengthening public health education and promotion is essential to enhance community participation in the Posbindu PTM program.

Nelly Masna Barus; Khalikul Fadli; Mutiara Hikmah

Jurnal Pengabdian dan Keberlanjutan Masyarakat 2025 Lembaga Pengembangan Kinerja Dosen

Penyakit tidak menular (PTM), termasuk diabetes mellitus, menjadi masalah kesehatan utama yang membutuhkan deteksi dini. Pemeriksaan kadar gula darah merupakan metode screening yang efektif untuk mendeteksi risiko diabetes. Kegiatan pengabdian masyarakat ini dilakukan di Lapangan Pemuda Kutacane, Kabupaten Aceh Tenggara, pada Mei 2025. Sebanyak 102 orang yang aktif berolahraga diperiksa kadar gula darahnya menggunakan glucometer standar. Hasilnya menunjukkan 17 orang (16,7%) memiliki kadar gula darah > 200 mg/dL, mengindikasikan risiko diabetes, sementara 85 orang (83,3%) dalam batas normal. Edukasi tentang gaya hidup sehat juga diberikan. Temuan ini menggarisbawahi pentingnya screening dan edukasi berkelanjutan untuk mencegah PTM.

Mansura Feby Amanda; Tina Maharani

Jurnal Riset Rumpun Ilmu Kesehatan 2025 Pusat riset dan Inovasi Nasional

Occupational Health and Safety (K3) is an effort to provide safety guarantees and improve the health status of workers/laborers by preventing work-related accidents and diseases, controlling  workplace hazards,  health  promotion, treatment and  rehabilitation. Occupational Health and Safety efforts include workforce, work methods/methods, work tools, work processes and work environment. In the PTM room at the West Baktiya Health Center, the space is quite narrow due to the large number of patients visiting, so there is untidiness in the room even though the AC and windows are used. However, having 2 tables in the room makes the room increasingly narrow and difficult to work comfortably. This research aims to find out an overview of the implementation of Occupational Safety and Health in the PTM room. This research is a qualitative descriptive research with a case study design. The subjects of this research were 3 officers in the PTM room. The object of this research is the implementation of K3 and PTM rooms at the West Baktiya Community Health Center. Data was collected by participant observation and semi-structured interviews with informants. The risk factors for the PTM room at the West Baktiya Health Center, seen from occupational safety and health factors, are that it is quite clean, no animals were found that cause disease transmission such as cockroaches, rats and others. There are no occupational safety and health signs and standard operational procedures related to occupational safety and health, while fire prevention in the PTM room at the West Baktiya Public Health Center and the West Baktiya Community Health Center itself is quite good with APAR. There needs to be signs regarding occupational safety and health and SOPs regarding occupational safety and health, especially in the PTM room.

Siti Nur Ramdaniati; Lambang Satria Himawan; E.Egriana Handayani; Erma Noor Wahyuningsih; Heny Sasmita +1 more

Sevaka : Hasil Kegiatan Layanan Masyarakat 2025 STIKES Columbia Asia Medan

Smoking can cause socio-economic problems, health issues, and even death. The activity aims to improve the understanding and skills of UKS mentor teachers about the importance of smoke-free areas (KTR) and smoking cessation efforts in schools, as well as follow-up on the implementation of KTR in schools with the Public Health Center. The intervention was carried out through a one-day training with lecture and question-and-answer discussion methods. The target of this activity was UKS mentor teachers at the junior high school level and PTM officers from the Public Health Center as many as 32 participants. The results of the activity: 1. Increased knowledge and awareness of teachers about the negative impacts of smoking on health, as well as creating a smoke-free environment in schools. 2. Changes in attitudes and behavior with a commitment from teachers not to smoke and strengthening the smoke-free policy program. 3. Increased student involvement in peer support programs for anti-smoking campaigns in the school environment. 4. Establishing cooperation between schools, parents, communities, and health agencies to create an environment that supports a healthy lifestyle. 5. The existence of a monitoring and evaluation system for student development in avoiding smoking and the impact of the UBM program in the school environment. 6. Improved health and quality of life by reducing the number of students and teachers who smoke, thereby creating a healthier and more conducive school environment for learning. These impacts are expected to contribute to efforts to improve health and well-being in the school environment and build a healthy living culture among students and staff.

Maulidta Karunianingtyas Wirawati; Sigit Sugiharto; Harsono Harsono

Jurnal Pengabdian Masyarakat 2025 Lembaga Pengembangan Kinerja Dosen

Non-Communicable Diseases (NCDs) are a group of diseases that are not transmitted through infection or direct contact with other individuals, but are caused by a combination of genetic, environmental and behavioral factors. NCDs are one of the main causes of death globally, with prevalence rates continuing to increase, especially in developing countries. The main risk factors for NCDs include unhealthy diet, lack of physical activity, tobacco consumption and excessive alcohol use. Prevention and control of NCDs requires a multidisciplinary approach, involving public education, health system strengthening, public policies that support health, as well as early detection and risk management. Effective treatment of NCDs is very important to improve people's quality of life and reduce the economic burden caused by this disease. Prevention of PTM can be done through PTM screening. The government has provided this skinning method through the JKN mobile application. The method used in this activity is direct socialization and discussion directly with participants using power point media. The results showed that participants were very enthusiastic about following the education provided and enthusiastic about knowing how to carry out screening using the JKN application.

Maulidta Karunianingtyas Wirawati; Sigit Sugiharto; Harsono Harsono

Jurnal Pengabdian Masyarakat 2025 Lembaga Pengembangan Kinerja Dosen

Non-Communicable Diseases (NCDs) are a group of diseases that are not transmitted through infection or direct contact with other individuals, but are caused by a combination of genetic, environmental and behavioral factors. NCDs are one of the main causes of death globally, with prevalence rates continuing to increase, especially in developing countries. The main risk factors for NCDs include unhealthy diet, lack of physical activity, tobacco consumption and excessive alcohol use. Prevention and control of NCDs requires a multidisciplinary approach, involving public education, health system strengthening, public policies that support health, as well as early detection and risk management. Effective treatment of NCDs is very important to improve people's quality of life and reduce the economic burden caused by this disease. Prevention of PTM can be done through PTM screening. The government has provided this skinning method through the JKN mobile application. The method used in this activity is direct socialization and discussion directly with participants using power point media. The results showed that participants were very enthusiastic about following the education provided and enthusiastic about knowing how to carry out screening using the JKN application.

Sri Indaryati; Maria Tarisia Rini; Keristina Ajul; Novita Anggarini; Lusia Sudarmi

Publikasi Hasil Pengabdian dan Kegiatan Masyarakat 2025 Asosiasi Periset Bahasa Sastra Indonesia

Non-Communicable Disease (NCD) Screening is an early effort to identify NCD risk factors in individuals or groups through the Integrated Development Post (Posbindu) NCD. NCDs consist of Hypertension, Diabetes Mellitus, Cervical and Breast Cancer, and Chronic Obstructive Pulmonary Disease. NCDs are increasing and are the main cause of death of the population. In 2030, it is targeted that at least the number of premature deaths due to NCDs can be prevented through the SDGs program by 25%. The Faculty of Health Sciences (Fikes) of Musi Charitas Catholic University (UKMC) is part of the Sukarami Health Center Working Area which has 396 students in the 2024/2025 academic year. Fikes finds out whether or not there are NCD risk data factors in students. Lecturers and Officers of the Sukarami Health Center are actively conducting NCD screening using the Posbindu activity method, namely 5 Tables (Registration, Interview, Measurement, Examination and Counseling/Education). The target of all UKMC Fikes students who are studying on campus is 287 (72.47%). The activities carried out were measuring Body Weight (BB), Height (BB), determining Body Mass Index (BMI). Implementation of procedures in accordance with the guidelines set by the Indonesian National Nurses Association (PPNI). Results: The target achievement was 245 (85.37%) of the original target of 287. Analysis results 1) Students who have a BMI > 25 are 72 (29.39%) students; have a waist circumference > 80 (women) and > 90 (men) are 62 (25%) students. Blood pressure > 130/90 mmHg is owned by 6 (2.45%) students, while random blood sugar > 180 mg/dl is owned by 1 (0.41%) student. Suggestions or Follow-up Action Plans: All students are screened periodically and PTM control is carried out.

Putri Adekayanti; Meliana Fitri; Abdul Hamid; Rafi’a Rafi’a

Jurnal Pengabdian Bidang Kesehatan 2024 PPNI UNIMMAN

Non-communicable diseases (NCDs) are chronic diseases, not transmitted from person to person. PTM has a long duration and generally develops slowly. Based on the results of interviews with housewives in Poto Village, information was obtained that people regularly consume vegetables, but fruit is still very rare. Side dishes include fish, tofu and tempeh and meat made in various variants. Consuming fast food such as instant noodles and fried foods is still a habit among people.  Based on the background above, educational activities related to a balanced diet need to be conveyed to the public. This service aims to increase housewives' understanding of a balanced diet as an effort to prevent NCDs in Poto Village, Moyo Hilir District. Community service activities are carried out through providing education through health instructors using power point media. To evaluate the success of outreach activities in increasing housewives' knowledge about preventing NCDs, a series of pre-test and post-test activities were carried out. The results of the service show that there is an influence of the counseling given on increasing housewives' knowledge about a balanced diet as an effort to prevent NCDs.

Siti Khoiriyah; Abdullah Azam Mustajab

International Journal of Health and Medicine 2024 Asosiasi Riset Ilmu Kesehatan Indonesia

Non-communicable diseases cannot be transmitted to others, but their development occurs slowly over a long period of time. One of the non-communicable diseases that is a priority in global health today is hypertension. Hypertension often causes complications such as stroke, heart disease, and kidney failure. The aim is to describe the incidence of hypertension in Posbindu PTM Bumiroso participants. The quantitative descriptive method using the total sampling technique obtained 38 respondents. The data was analyzed descriptively to describe the results of the respondents' blood pressure examinations. The results of the study based on the classification of hypertension, participants who experienced pre-hypertension and hypertension level 1 were 12 (31.58%), hypertension level 2 was 9 (23.68%) and normal was 5 (12.16%). The conclusion is that more than half of Posbindu PTM participants experience hypertension, as a suggestion, they can carry out routine checks at the nearest health facility.    

Intan Kumalasari; Maksuk Maksuk; Syarif Burhan Yusuf; M Rajab Alfariz; Miranda Salsabila Nur Suryani +2 more

Jurnal Pengabdian Masyarakat Nusantara (Pengabmas Nusantara) 2024 Universitas Muhammadiyah Manado

Non-communicable diseases (NCDs), such as hypertension and diabetes, are the leading causes of death among the elderly in Indonesia. To address this issue, a community service program was conducted in the working area of the Ariodilla Health Center, Palembang, focusing on NCD screening and health education through senior exercise. The program was attended by 45 elderly individuals who underwent health screenings, including blood pressure, blood sugar, cholesterol, and uric acid measurements. The results showed that 15.5% of the elderly were diagnosed with diabetes mellitus, 75.8% had high cholesterol, and 24.4% had elevated uric acid levels. In addition, senior exercise sessions were conducted to improve physical fitness. This program successfully increased the knowledge and awareness of the elderly regarding NCDs, the importance of regular health check-ups, and maintaining a healthy lifestyle. In the future, similar programs are expected to be expanded to reach more elderly individuals, aiming to prevent serious complications from NCDs.

Lulu Fatimatuzzahro; Esti Nur Janah; Siti Fatimah; Nur Umi Aminatusholihah

Jurnal Ilmu Keperawatan dan Kebidanan 2024 Asosiasi Riset Ilmu Kesehatan Indonesia

Non -communicable disease (PTM) is one of the increasing health problems in society every year and contributes to the largest proportion of death worldwide. According to a global status report on non -communicable diseases, non -communicable diseases can occur due to lack of exercise, smoking and malnutrition, which causes increased blood pressure, increased blood sugar levels and increased blood lipids. If not prevented, this increase will get worse and lead to chronic diseases such as hypertension, diabetes, cholesterol, dysplidemia, gout arthritis and obesity. The World Health Organization (WHO) reports that 40 million people worldwide suffer from non -communicable diseases, with the cause of cardiovascular disease, diabetes and injuries to be the main cause (Syam'ani, 2023).      

Ainnur Rahmanti; Syurrahmi Syurrahmi; Lu’Luah Feby Purwanti

Ekspresi : Publikasi Kegiatan Pengabdian Indonesia 2024 Asosiasi Seni Desain dan Komunikasi Visual Indonesia

Non-Communicable Diseases (NCDs) such as hypertension, diabetes mellitus and heart disease are the main causes of morbidity and mortality in the elderly (elderly). The elderly need early detection and health promotion to reduce the risk of NCD complications and improve quality of life. This activity aims to increase awareness and understanding of elderly people in Barusari Village regarding the importance of early detection and control of NCDs, as well as providing health education through community-based health promotion. Implementation Method: Free Health Check: Carry out a health check to detect early signs of NCDs, such as measuring blood pressure, blood sugar levels, and checking cholesterol. Community-Based Health Promotion: Holding a health promotion campaign involving community leaders, elderly families, and health workers to create an environment that supports a healthy lifestyle for the elderly. Results: Increased public awareness about the importance of early detection and prevention of NCD complications. Elderly people who take part in health checks gain knowledge about their health conditions and are given referrals to health facilities if necessary. Conclusion: This activity was successful in increasing elderly participation in early detection and health promotion, as well as forming a community that is more concerned about controlling NCDs in the elderly group.

Aprida Manurung; Novita Anggraini; Margareta Haiti; Mustika Sari Hutabarat; Lidwina Septie Ch +1 more

Compromise Journal : Community Proffesional Service Journal 2023 LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Routine health checkups are simple and easy to do. Health checks can include physical examinations, laboratory tests, and followed by consultations. The purpose of this service activity is to be able to provide counseling to residents regarding the prevention of non-communicable diseases (PTM) and conduct examinations such as blood pressure checks and cholesterol checks. The purpose of these tests is to detect previously unknown diseases or health problems. This way, you can improve your health early on, before the condition gets worse. There are many health problems that can be detected through regular health checks. These diseases are the main diseases that are commonly suffered by citizens, especially in Indonesia. Residents of KM 14 neighborhood in Palembang City mostly consist of working age residents, who have more opportunities to work and have less time to undergo health checks and when residents are on vacation, health services are also closed.  Most of the residents of KM 14 Palembang City do not know the importance of health checks and do not have the right time to visit health services. So the PKM team began to offer solutions by conducting physical examinations and education about systemic diseases such as high blood pressure, gout, and diabetes.