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Acute Respiratory Infection (ARI) remains a major public health problem in Indonesia. Based on the 2025 National Health Reporting System survey, ARI ranked first among diseases with the highest number of cases, reaching more than 14.5 million cases. This study aimed to determine and analyze the relationship between environmental sanitation and nutritional status with the incidence of ARI among children under five following flood disasters in the working area of Panteraja Community Health Center, Pidie Jaya Regency. The study employed a quantitative method with an analytical observational design using a case-control approach. The dependent variable was the incidence of ARI among under-five children, while the independent variables were environmental sanitation and nutritional status. The sample consisted of 122 children under five, including 61 children with ARI and 61 children without ARI. The results of the chi-square test showed a significant relationship between environmental sanitation and ARI incidence (p = 0.000; OR = 0.042; 95% CI = 0.014–0.133), as well as between nutritional status and ARI incidence (p = 0.000; OR = 0.011; 95% CI = 0.001–0.083). These findings indicate that poor environmental sanitation and inadequate nutritional status contribute to the occurrence of ARI among children under five after flooding. Therefore, promotive and preventive efforts, along with regular monitoring of children's nutritional status, are essential to reduce the risk of ARI.

Partographs are an important instrument in labor monitoring that functions to detect complications early, monitor labor progress, and support appropriate clinical decision-making. However, incomplete filling of partographs is still a problem in various health service facilities and has the potential to affect the quality of midwifery services. This study aims to find out the completeness of filling in the partograph in childbirth monitoring at the Wajo Health Center UPTD Baubau City. This study uses a quantitative method with a descriptive design. The research population is all partograph documents for the period November 2025 to March 2026 as many as 40 documents. The sampling technique used total sampling and obtained 32 documents that met the research criteria. Data were collected using an observation checklist sheet and analyzed univariately through frequency and percentage distributions. The results showed that as many as 28 documents (87.5%) had not been fully filled out and only 4 documents (12.5%) had been filled in completely. The components with the highest level of completeness were uterine contractions (100%), drugs and fluids (96.9%), and labor progress (93.8%). Meanwhile, the components of maternal information (12.5%) and maternal condition (31.3%) had the lowest level of completeness. Most of the filling of partographs at the Wajo Health Center UPTD still does not meet the completeness standards. It is necessary to strengthen supervision, training, and periodic monitoring to improve the quality of childbirth documentation and support the safety of mothers and babies

Pulmonary tuberculosis is an infectious disease that remains a public health problem, especially in developing countries such as Indonesia. The transmission of this disease can be prevented through appropriate behavior, which is influenced by the level of individual knowledge. This study aims to determine the relationship between knowledge level and preventive behavior of pulmonary tuberculosis transmission among patients at a public health center. This study used a quantitative method with a cross-sectional design. The sample consisted of 20 respondents selected using total sampling technique. The research instrument was a questionnaire measuring knowledge and behavior. Data were analyzed using the Chi-Square test. The results showed that most respondents had a good level of knowledge (50.0%) and good preventive behavior (60.0%). The Chi-Square test showed a p-value of 0.000 (p < 0.05), indicating a significant relationship between knowledge level and preventive behavior of pulmonary tuberculosis transmission. In conclusion, there is a significant relationship between knowledge level and preventive behavior, indicating that improving knowledge is essential in preventing tuberculosis transmission.

Pulmonary tuberculosis is an infectious disease that remains a public health problem, especially in developing countries such as Indonesia. The transmission of this disease can be prevented through appropriate behavior, which is influenced by the level of individual knowledge. This study aims to determine the relationship between knowledge level and preventive behavior of pulmonary tuberculosis transmission among patients at a public health center. This study used a quantitative method with a cross-sectional design. The sample consisted of 20 respondents selected using total sampling technique. The research instrument was a questionnaire measuring knowledge and behavior. Data were analyzed using the Chi-Square test. The results showed that most respondents had a good level of knowledge (50.0%) and good preventive behavior (60.0%). The Chi-Square test showed a p-value of 0.000 (p < 0.05), indicating a significant relationship between knowledge level and preventive behavior of pulmonary tuberculosis transmission. In conclusion, there is a significant relationship between knowledge level and preventive behavior, indicating that improving knowledge is essential in preventing tuberculosis transmission.

Background: Rabies is a fatal zoonotic disease that remains a serious health problem in Bali, with increase case from rabies transmiting animal bite   in 2025. Sobangan Village, area of ??the Mengwi I Public Health Center, has been identified as a high-risk area due to its largest dog population and the second-highest bite incidence in the region. Lack of understanding regarding the initial treatment of bite wounds and vaccination are major risks factor for fatalities. Aim: This community service activity aims to increase the knowledge and awareness of the Sobangan Village community regarding the prevention and initial treatment of Animal Bites. Method: The implementation method included interactive counseling and focused discussions involving 18 village cadre representatives and PKK members, evaluated using pre-tests and post-tests. Result: The results showed a significant increase in the average knowledge score of participants from 11.56 to 12.56. The most increase understanding occurred in identifying the characteristics of rabid dogs (from 55.6% to 94.4%) and the urgency of post-exposure vaccination (from 72.2% to 100%). Conclusion: Community-based health education has been shown to be effective in improving cognitive competence as a preventative measure to reduce the risk of death from rabies in endemic areas.

Anxiety during pregnancy is one of the most common psychological problems experienced by pregnant women, particularly during the third trimester when they face childbirth preparation as well as various physical and emotional changes. If not properly managed, anxiety may adversely affect both maternal and fetal health. This study aimed to describe the level of anxiety among third-trimester pregnant women at Mlati II Public Health Center in 2026. This research employed a descriptive quantitative design with a cross-sectional approach. The study involved 40 third-trimester pregnant women selected using a total sampling technique. Data were collected using the Hamilton Anxiety Rating Scale (HARS) questionnaire and analyzed through univariate analysis in the form of frequency and percentage distributions. The results showed that most respondents were of healthy reproductive age (20–35 years) (92.5%), primigravida (67.5%), had a secondary level of education (70%), and were unemployed (70%). The respondents' anxiety levels were categorized as no anxiety (47.5%), mild anxiety (47.5%), and moderate anxiety (5%), while no cases of severe anxiety or panic were identified. The most dominant anxiety indicators were anxious feelings, tension, respiratory symptoms, and sleep disturbances. These findings indicate that some third-trimester pregnant women still experience anxiety, highlighting the need for early detection, health education, and psychological support through antenatal care services to promote maternal mental well-being during pregnancy.

This study aims to analyze the effectiveness of the Free Medical Treatment Program Using Identity Cards (KTP) at Wedomu Community Health Center, East Tasifeto District, Belu Regency. The research employed a qualitative approach with a descriptive method. Data were collected through interviews, observations, and documentation and analyzed using the Miles and Huberman interactive model, consisting of data reduction, data display, and conclusion drawing. The analysis was based on Richard M. Steers' (1985) effectiveness theory, which includes goal attainment, system approach, and strategic constituencies approach. The findings indicate that the program has been fairly effective in improving public access to healthcare services and reducing medical expenses. From the goal attainment perspective, the program has facilitated easier access to healthcare services for the community. From the system approach perspective, the program is supported by funding, healthcare personnel, and service facilities, although limitations in human resources and supporting infrastructure remain. From the strategic constituencies perspective, beneficiaries expressed a high level of satisfaction with the services received. Supporting factors include local government commitment, healthcare workers’ dedication, and strong public demand for affordable healthcare services. Meanwhile, the main obstacles include limited healthcare personnel, inadequate service facilities, and insufficient public understanding of program procedures. Therefore, strengthening human resources, improving healthcare facilities, and enhancing program socialization are necessary to ensure sustainable improvements in healthcare service effectiveness.

This study aims to develop a more systematic system for evaluating the performance of Community Health Centers (Puskesmas) based on the Health Center Management cluster. Performance evaluation of Puskesmas plays an important role in improving the quality of public healthcare services, particularly in Sragen Regency. However, the current evaluation process has not been integrated into a computerized system, making it less effective in supporting decision-making. Therefore, this study develops a decision support system by integrating the Analytic Hierarchy Process (AHP) and the *Technique for Order of Preference by Similarity to Ideal Solution (TOPSIS) methods. The AHP method is used to determine the weight of each criterion based on its level of importance, while the TOPSIS method is applied to generate an objective ranking of Puskesmas performance. The results indicate that the system is capable of utilizing nine evaluation criteria to produce a ranking of Puskesmas within the Health Center Management cluster, from the highest to the lowest score. The developed system is expected to support a more effective evaluation process and improve decision-making. Future research may enhance the system by incorporating additional evaluation clusters, expanding the number of assessment criteria, and optimizing its features and security.

Vector-borne infectious diseases remain a public health concern, particularly in tropical regions such as Indonesia. Sanitation clinics at public health centers (Puskesmas) play a role in identifying environmental risk factors and planning interventions to support vector-borne disease control. This study aimed to evaluate the performance of sanitation clinics in environmental intervention planning. The method used was a literature review of scientific articles, journals, and related documents published between 2015-2025. Data were analyzed descriptively to identify forms of environmental interventions and their effectiveness. The results showed that sanitation clinics play an important role in environmental health counseling, sanitation inspections, health education, and environmental intervention planning. However, their implementation still faces challenges, including limited numbers of sanitarians, inadequate facilities and infrastructure, and suboptimal environmental interventions. Nevertheless, sanitation clinics continue to contribute to the prevention of environment-based diseases and vector control. Therefore, strengthening resources and improving the quality of intervention planning are necessary to enhance the effectiveness of sanitation clinic programs.

Penelitian ini mengkaji efektivitas pelayanan kesehatan di Puskesmas Oelbiteno dalam upaya meningkatkan pelayanan kesehatan masyarakat di Kecamatan Fatuleu Tengah, Kabupaten Kupang. Penelitian ini menggunakan pendekatan deskriptif kualitatif dengan metode studi kasus. Data penelitian diperoleh melalui teknik wawancara, observasi, kuesioner, serta dokumentasi yang melibatkan tenaga kesehatan dan masyarakat sebagai informan. Hasil penelitian menunjukkan bahwa pelayanan kesehatan di Puskesmas Oelbiteno telah dilaksanakan melalui program promotif, preventif, kuratif, dan rehabilitatif. Namun demikian, efektivitas pelayanan belum berjalan secara optimal karena masih terdapat berbagai kendala, seperti keterbatasan tenaga medis, sarana dan prasarana yang belum memadai, kekurangan obat dan alat kesehatan, hambatan geografis wilayah, serta rendahnya kesadaran masyarakat terhadap pentingnya pelayanan kesehatan. Selain itu, kualitas pelayanan juga masih dipengaruhi oleh beban kerja petugas kesehatan serta komunikasi antara petugas kesehatan dan pasien. Oleh karena itu, diperlukan upaya peningkatan sumber daya manusia, perbaikan fasilitas pelayanan, serta penguatan pelayanan kesehatan berbasis masyarakat guna meningkatkan efektivitas pelayanan kesehatan secara berkelanjutan secara menyeluruh di wilayah tersebut.

Diabetes Mellitus is a non-communicable disease with an increasing prevalence and has become a major public health concern globally and nationally. The incidence of diabetes mellitus is influenced by various individual and environmental factors. This study aimed to analyze the relationship between age, gender, and residential proximity to landfill areas and the incidence of diabetes mellitus in Bendosari District. A quantitative analytic observational design with a cross-sectional approach was employed. The study population consisted of 1,890 patient visit records recorded in the Management Information System of Bendosari Public Health Center in 2025. A total of 363 respondents were selected using proportionate stratified random sampling. Data were analyzed through univariate analysis, bivariate analysis using the Chi-Square test, and multivariate analysis using multiple logistic regression. The findings showed that age was significantly associated with diabetes mellitus incidence (p=0.000; OR=79.790; 95% CI=53.511–118.974). Gender was also significantly related to diabetes mellitus incidence (p=0.000; OR=0.298; 95% CI=0.203–0.435), indicating that females had a higher risk than males. In contrast, residential proximity to landfill areas was not significantly associated with diabetes mellitus incidence (p=0.308; OR=1.247; 95% CI=0.439–3.540). Multivariate analysis revealed that age and gender were the dominant factors influencing diabetes mellitus incidence, with the model explaining 56.1% of the variation. The study concludes that age and gender are significant determinants of diabetes mellitus incidence, whereas residential proximity to landfill areas has not been proven to significantly affect its occurrence.

Clean and healthy living habits (PHBS) is the essence and human right to maintain the continuity of life. Clean and healthy living habits is a set of behaviors that are practiced on the basis of awareness as a result of learning, which makes a person, family, group or community able to help themselves (independently) in the health sector and play an active role in realizing public health. The impacts of families who do not practice PHBS are numerous, this problem comes from unhealthy behavior and environments. Clean and Healthy Living Behavior in Cemparam Lama Village, Bener Meriah Regency, based on the results of observations made by the Mesidah District Health Center, Bener Meriah Regency, in 2022 is 1.8%. The aim of this research is to see the description of clean and healthy living behavior in the household structure in Cemparam Lama Village, Mesidah District, Bener Meriah Regency. This type of research is purely descriptive which aims to see the description of clean and healthy living habits in the family structure in Cemparam Lama Village, Bener Meriah Regency. Results of this research were good knowledge of respondents with a percentage of 93.9%, positive attitudes of respondents with a percentage of 95.6%, and good actions of respondents with a percentage of 94. 7%. Conclusion of this research is that the majority of families in Cemparam Lama Village, Mesidah District, Bener Meriah Regency have a good description of characteristics, knowledge, attitudes and actions regarding Clean and Healthy Living Habits.  

Background: Stunting threatens the future of the nation’s next generation, until 2022 the National stunting incidence rate (21,6%) is still high including in Lampung Province (15,2%) and Pesawaran Regency ranks first for children who experience stunting where the incidence of stunting increased from the previous year to 25,4%. Based on the data of Public Health Office of Pesawaran Regency the highest incidence of stunting is Public Health Center of Kedondong with a total of 124 children out of a total of 584 stunted children. Research method: analytic survey research with a cross sectional approach. The population of the research is all mothers and children aged 12-23 months, while the number of samples from 12 villages obtained as many as 110 respondents. Sampling technique using is proportional simple random sampling and the data obtained in the analysis using is logistic regression. Research results: maternal height (OR= 9.836, pV=0.001) and IMD (OR=4.326, pV= 0.011) were the most dominant factor associated with the incidence of stunting in Kedondong District Pesawaran Regency in 2023. Special attention needs to be given to pregnant women who have a height <150cm to be able to prioritize nutritional intake in 1000 HPK, starts from the pregnant until the child is 2 years old, especially the high intake of protein and ensure when the child is born must get IMD to avoid risks of stunting and avoid passing on short stature to the next generation.

Complementary feeding plays a vital role in meeting the nutritional needs of infants and toddlers. However, food safety remains a concern, particularly for homemade commercial complementary foods. This study aimed to assess the microbiological quality and hygiene sanitation practices of homemade commercial complementary foods vendors in the service area of Karangandong Public Health Center, Gresik. A quantitative descriptive approach with a cross-sectional design was employed. Four homemade commercial complementary foods samples were collected from different vendors and tested for Total Plate Count (TPC) and Escherichia coli contamination. Observations and interviews were also conducted to evaluate the vendors' hygiene and sanitation practices. The results showed that three out of four homemade commercial complementary foods samples exceeded the maximum limit for microbial contamination (1 × 10² CFU/g). Two of the four samples tested positive for Escherichia coli contamination. The hygiene and sanitation practices of the vendors showed several non-conformities, categorized as minor, major, and critical. In conclusion, most homemade commercial MP-ASI products in this study did not meet established microbiological safety standards and reflected hygiene and sanitation practices that require improvement.

Hypertension is a non-communicable disease that is still a major health problem in Batam City. This study aims to determine the relationship between energy, carbohydrate, fat, protein, and sodium intake with the incidence of hypertension in the elderly at the Sei Langkai Public Health Center, Batam City. This type of study is observational with a cross-sectional design. A sample of 73 elderly people was selected using a purposive sampling technique based on predetermined inclusion and exclusion criteria. The results showed that the majority of elderly participants had adequate energy intake (54.8%) and carbohydrate intake (57.5%), while inadequate intake was observed for fat (56.2%), protein (52.1%), and sodium (79.5%). In addition, 54.8% of the participants were found to have hypertension. Statistical analysis revealed significant associations between energy intake (p=0.020), carbohydrate intake (p=0.004), fat intake (p=0.009), and protein intake (p=0.015) and the incidence of hypertension among the elderly. However, no significant association was found between sodium intake (p=0.300) and the incidence of hypertension among the elderly. It can be concluded that energy, carbohydrate, fat, and protein intake were significantly associated with the incidence of hypertension among the elderly, whereas sodium intake was not. The elderly are advised to implement a healthy and balanced dietary intake.

Stunting remains a major public health challenge in Indonesia, requiring systematic early detection and community-based interventions. This community service activity aimed to implement early stunting detection through parental health education and anthropometric measurements of children under five at Posyandu Pasir Putih, Kelurahan Baurung, Kecamatan Banggae Timur, Kabupaten Majene, West Sulawesi. A participatory approach was used, combining interactive health education sessions with standardized anthropometric screening (weight, height/length, mid-upper arm circumference, and head circumference) for 35 toddlers aged 0–59 months. Parental knowledge was assessed using pre-test and post-test questionnaires administered to 38 parents. Results showed a significant increase in parental knowledge, from a mean pre-test score of 52.4 (poor category) to 81.6 (good category) on post-test. Anthropometric assessment revealed that 13 out of 35 toddlers (37.1%) were identified as stunted (25.7% stunted; 11.4% severely stunted). All identified cases were referred to the local health center (Puskesmas) for specific nutritional interventions including supplementary feeding and intensive nutrition counseling. These findings indicate that integrated anthropometric screening combined with targeted parental education is an effective strategy for early stunting identification at the community level. Posyandu plays a crucial role as a platform for translating anthropometric data into meaningful risk communication and promoting sustained community engagement in child growth monitoring

Primary healthcare centers generate both medical and non-medical waste that may pose environmental and public health risks if not properly managed. This study aims to describe the waste management practices at Kesumadadi Public Health Center, Bekri Subdistrict, Central Lampung Regency, in 2025. This research employed a descriptive design conducted in May 2025 at the Kesumadadi Public Health Center. Data were collected through observation and interviews as primary data and secondary data from the health center. Data processing included editing, coding, tabulating, and cleaning, while data analysis was carried out using checklists and questionnaires. The results showed that the segregation of medical and non-medical solid waste was not fully in accordance with standards, waste transportation to temporary storage areas did not use trolleys and lacked designated routes, there was no wastewater treatment facility for liquid waste, and the use of personal protective equipment by staff was not optimal. Waste management practices at the Kesumadadi Public Health Center have not met the required standards, particularly in waste segregation, transportation, liquid waste treatment, and occupational safety, therefore improvements are needed to reduce environmental and health risks.

Dengue Hemorrhagic Fever (DHF) remains a major public health problem in Indonesia, particularly in densely populated areas. Control efforts require accurate data and spatial analysis to understand disease distribution patterns. Geographic Information System (GIS) is an effective tool for visualizing case distribution and supporting surveillance and planning of control programs at the primary healthcare level. This study aims to describe the spatial distribution of Dengue cases based on medical record data and produce a geographic distribution map to support Dengue control efforts at the Puskesmas level. This study used a quantitative descriptive design with secondary data from medical records at Karangsari Health Center. The sample consisted of 255 DHF patients in 2025, selected using a total sampling technique. Data were processed through editing, geocoding patient addresses, and spatial analysis using QGIS software.The results showed 255 Dengue  cases in 2025 with fluctuating monthly trends, peaking in April and lowest in December. Case distribution was uneven and tended to cluster. High-risk areas accounted for 15.7%–21.2%, moderate-risk areas 9.8%–15.7%, and low-risk areas 7.1%–9.8%. Megu Cilik Village had the highest proportion of cases, while other villages were categorized as moderate and low risk. This pattern indicates that Dengue incidence is influenced by environmental conditions, vector density, host factors, rainfall, and Aedes aegypti presence. GIS provides clearer spatial visualization, helping identify high-risk areas and supporting targeted public health interventions.

Malnutrition among children under five remains a major public health concern, particularly in areas with limited access to nutritious food and health services. This study aimed to determine the prevalence of stunting, underweight, and wasting among children under five in Kuatnana District, South Central Timor Regency in 2025. This research used a descriptive cross-sectional design with secondary data obtained from nutrition program reports at Tetaf Public Health Center. The sample included all children aged 0–59 months, totaling 1,179 children. Data were analyzed using univariate analysis to calculate frequency distribution and percentages based on WHO anthropometric indicators (z-score). The results showed that the prevalence of stunting was 44.78%, underweight 40.46%, and wasting 14.76%. Most children had normal nutritional status based on weight-for-height index (88.38%), although a considerable proportion still experienced undernutrition. In conclusion, malnutrition among children under five in Kuatnana District remains high, particularly stunting and underweight. Integrated interventions are needed, including improving caregiving practices, increasing access to nutritious food, and strengthening health services to reduce malnutrition sustainably.

Stunting is a major indicator of chronic nutritional problems that affect children’s growth and development. In Indonesia, stunting prevalence remains high and is a national public health concern. This study aimed to analyze the relationship between socio-demographic factors and stunting incidence among toddlers in the working area of the Tanoh Alas Health Center, Southeast Aceh Regency, in 2025. This study used an analytical quantitative design with a cross-sectional approach. The sample consisted of 93 mothers with children under five selected through simple random sampling. Data were collected using questionnaires and observation sheets from June 19 to July 3, 2025. Statistical analyses included Chi-Square and multiple logistic regression tests. The results showed that 33.3% of children were stunted, 34.4% had poor access to health services, and 68.8% lived in unhealthy housing conditions. Bivariate analysis indicated significant relationships between maternal age (p = 0.007), maternal education (p = 0.012), maternal occupation (p = 0.002), access to health services (p = 0.001), family income (p = 0.032), and healthy housing conditions (p = 0.007) with stunting incidence. Multivariate analysis revealed that access to health services was the strongest factor associated with stunting (p = 0.010; OR = 4.294; 95% CI: 1.411–13.06). Children with limited access to health services were 4.3 times more likely to experience stunting. The study recommends improving the accessibility and quality of maternal and child health services and strengthening multisectoral interventions and health education programs to prevent stunting.