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Immunization is a preventive measure used to protect against Tuberculosis, Diphtheria, Pertussis, Polio, Hepatitis B, and Measles. Immunization administration must be continuous, comprehensive, and conducted according to standards to provide effective health protection. The objective of this study was to determine the correlation between paternal support and the immunization status of children aged 0 to 1 year in the Tamban Baru Community hEalth Center area, Kapuas Regency. This study used a cross-sectional correlation design. The independent variable was paternal support, and the dependent variable was immunization status. The sample was selected using total sampling technique, consisting of 50 respondents. Data collection was performed using a questionnaire. The results showed a significant correlation between paternal support and the immunization status of children aged 0 to 1 year, indicated by p = 0.000017 < 0.005; thus, the null hypothesis (H0) was rejected and the alternative hypothesis (H1) accepted. This means that there is a correlation between paternal support and the immunization status of children aged 0 to 1 year. It is recommended that that cross-sector collaboration and Community Health Center authorities enhance efforts so that every immunization officer provides health education, such as counseling about immunization, and that family involvement in spreading immunization programs is increased to achieve targeted coverage through cooperation with health professionals.

Pulmonary Tuberculosis (TB) is a contagious infectious disease caused by the bacterium Mycobacterium tuberculosis through droplets from patients diagnosed with TB. Based on the Global TB Report 2024, WHO reported that Indonesia ranks second in the world, where 81% of cases were confirmed and 90% of them had received treatment, where there was an increase in the number of cases compared to 2023 with 77% of confirmed cases and 88% of them received treatment. The increase in the number of pulmonary TB cases is inseparable from factors that determine the transmission of M. tb such as the concentration of organisms in the air related to ventilation and the length of time a person inhales contaminated air. To determine the relationship between ventilation conditions and home lighting to the incidence of pulmonary TB in the working area of ​​the Glugur Darat Health Center in 2025 This study is an analytical study with a cross-sectional study design. Sample selection used the consecutive sampling method with 56 patients who met the inclusion criteria. Of the 56 people who met the criteria, 30 people (53.6%) were pulmonary TB sufferers and 26 people (46.4%) were not pulmonary TB sufferers. The majority of respondents were male (38 people) and the highest number was found in the 18-59 age range (48 people) (85.7%). Regarding ventilation conditions, 34 people (60.7%) did not meet adequate ventilation requirements, and 29 homes (51.8%) did not meet adequate lighting requirements. There was a relationship between ventilation conditions and the incidence of pulmonary tuberculosis in the Glugur Darat Community Health Center work area, but there was no relationship between home lighting and the incidence of pulmonary tuberculosis in the Glugur Darat Community Health Center work area.

Tuberculosis (TB) remains a significant health issue in Indonesia, with the number of cases not showing a decline. Pediatric pulmonary tuberculosis is one of the leading causes of morbidity and mortality. In 2018, the number of TB cases in Aceh reached 41,595, with Aceh Utara having the highest number at 4,819 cases, followed by Bireuen with 3,636 cases, while Sabang recorded the lowest at 272 cases. The primary risk factor for pulmonary tuberculosis in children is a history of contact with adult TB patients, as children's immune systems are still weak, allowing the bacteria to enter their bodies easily. This study aims to examine the history of TB contact in children at the Pediatric Clinic of Cut Meutia General Hospital. The research used a descriptive observational design, with 105 respondents, and data was collected from medical records. The results showed that the majority of respondents were toddlers (47.6%), most were male (54.3%), and 58.1% had good nutritional status. A significant percentage of respondents (77.1%) had a history of contact with TB patients, and 83.8% did not receive BCG vaccination. These findings highlight that contact with TB patients is a key factor in the transmission to children.

Tuberculosis (TB) is a chronic, infectious disease caused by the bacterium Mycobacterium tuberculosis. Primary infection occurs upon first exposure to bacillary tuberculosis, which often occurs in childhood, hence the term "childhood TB." The diagnosis of TB is usually made through a history that includes complaints of persistent cough, weight loss, fever, and weakness, along with a chest X-ray that shows typical abnormalities of pulmonary TB. In this case, a 21-month-old girl presented with a worsening, persistent cough accompanied by weight loss. The patient's mother reported that her child frequently had fevers and appeared weak. After a physical examination and supporting tests, the patient was diagnosed with TB. The patient was given pharmacological therapy in the form of anti-tuberculosis drugs (OAT), and parents were educated about the importance of adherence to TB treatment as prescribed by the doctor. Furthermore, providing a balanced, nutritious diet is recommended to support successful treatment.

Compliance with taking medication is very important for pulmonary tuberculosis patients because it can ensure that the tuberculosis infection is controlled and does not spread to other people. Motivational interviewing counseling can help tuberculosis patients increase medication adherence with an empathetic and supportive approach to providing information. Through this technique, counselors can foster the patient's internal motivation to overcome obstacles that arise related to taking medication regularly. This research has gone through an ethical process with No. 000.9/002/KEPKRSUDBTG/1/2025. This type of research is quantitative, a quasi-experimental method with a one group pretest-posttest without control design. The sampling technique in this research used purposive sampling of 30 respondents. Data analysis used univariate and bivariate analysis with the Wilcoxon rank test. The research results show: The patient's level of compliance with taking TB medication before Motivational Interviewing counseling is in the medium category and the low category. The level of patient compliance in taking TB medication after Motivational Interviewing counseling has increased, namely the high category and the medium category. There is an influence of motivational interviewing counseling on medication adherence in pulmonary tuberculosis patients at Batang Regional Hospital. There is a significant difference between the results of compliance with taking TB medication before and after counseling motivational interviewing at Batang Regional Hospital.

Diarrhea and Tuberculosis (TB) remain significant public health problems in Indonesia, including Rembang Regency. This study aims to analyze the spatial distribution and temporal changes of Diarrhea and TB cases in Rembang Regency during 2023–2024 using a Geographic Information Sistem (GIS) approach. A descriptive-analytic method was applied using secondary data, including administrative boundary shapefiles, disease case data, and health facility data at the sub-district level. Spatial processing and analysis were conducted using QGIS to produce thematic maps and compare disease distribution patterns between years. The results indicate that Diarrhea and TB cases were unevenly distributed across sub-districts and formed distinct spatial patterns. Case changes between 2023 and 2024 varied spatially, reflecting dynamic disease trends. The integration of disease maps with health facility distribution shows that areas with high case numbers were not always supported by adequate health facilities. The implementation of GIS-based maps into a web platform enhances accessibility and supports spatial-based public health decision-making.

Tuberculosis (TB) is one of the infectious diseases that remains a public health problem in Indonesia, including in West Java Province, which has a large population and high mobility. This condition has the potential to increase the risk of transmission and cause variations in the distribution of cases between districts and cities. This study aims to map the distribution of TB cases across all districts and cities in West Java Province from 2022 to 2024 using a spatial analysis approach. This analysis was conducted to describe the geographical distribution of cases, identify patterns of spread, and determine areas with relatively high or low case rates. TB data was obtained from routine recording and reporting by health facilities in West Java, then integrated with population and administrative boundary data. The results of the analysis provide information on case distribution patterns between regions and trends in case changes from year to year. The findings of this study are expected to serve as a basis for local governments in formulating more targeted TB prevention and control strategies, through a focus on interventions in areas with a high case burden, as well as optimizing sustainable public health programs in West Java Province.  

Tuberculosis (TB) remains one of the leading infectious diseases causing morbidity and mortality in Indonesia. Limited public health literacy regarding TB symptoms, prevention, and treatment adherence contributes to delayed diagnosis and poor treatment outcomes. This community service program aimed to improve public understanding and awareness of TB through interactive educational activities conducted at the Outpatient Unit and TB Clinic of UPT Puskesmas DTP Saketi, Pandeglang Regency. The activities involved 30 participants, including TB patients and their families. Interactive counseling sessions, audiovisual media presentations, and group discussions were used to engage participants actively. Evaluation results showed a 35% increase in participants’ knowledge scores, greater awareness of the importance of completing treatment, and improved communication between patients and healthcare workers. The implementation of interactive education proved effective in enhancing TB health literacy and supporting national TB elimination efforts at the primary healthcare level.

Tuberculosis (TB) is an infectious disease caused by the bacterium Mycobacterium tuberculosis. It is transmitted through the air, specifically through droplets expelled by sufferers when coughing or sneezing. TB is divided into two main types: pulmonary TB, which attacks the lungs, and extrapulmonary TB, which can affect other organs such as the pleura, lymph nodes, skin, bones, and meninges. In the Community Health Center (Puskesmas) work area, 77 new cases of pulmonary TB were recorded from January to April 2025. Meanwhile, coverage of Tuberculosis Prevention Therapy (TPT) only reached 44.7%, still below the national target of at least 50%. This condition indicates the need for increased health promotion activities and community diagnostic approaches as promotive and preventive measures, in order to increase TPT coverage and reduce the incidence of TB. The results of the respondent questionnaire showed that the level of public knowledge about TB reached 64.6%, positive attitudes at 94%, and preventive behavior at 72%. Based on these findings, it is recommended that outreach activities be conducted regularly to improve public understanding, which can ultimately encourage behavioral changes and reduce TB cases.

Tuberculosis (TB) remains a major health problem in Indonesia, particularly in Islamic boarding schools (pesantren) where overcrowding and low awareness increase transmission risks. This community engagement aimed to improve knowledge, early detection, and reduce TB stigma at SMA Dar El Iman Islamic Boarding School, Padang. A participatory approach was conducted from July to September 2025 involving 34 female students. Activities included health education, student cadre formation through the Red Cross Youth (PMR), TB symptom screening, and anti-stigma campaigns. Results showed students’ knowledge improved from 45% to 90%, five student cadres were established as peer educators, and three suspected TB cases were referred to health facilities. Evaluation indicated increased awareness of dormitory hygiene, ventilation, and peer support. This program highlights pesantren as a strategic platform for TB prevention and early detection. In conclusion, school-based TB education and screening effectively enhance students’ capacity and support the national TB elimination target by 2030.

Medication adherence among pulmonary TB patients is crucial to prevent recurrence and ensurecomplete recovery. Patient knowledge of tuberculosis treatment and adherence to prescribed dosages andadministration methods are key components to successful treatment. This study aimed to determine therelationship between knowledge and medication adherence in pulmonary TB patients at Harapan Anda IslamicHospital, Tegal City. This study used a quantitative cross-sectional design. A sample size of 60 pulmonary TBpatients at Harapan Anda Islamic Hospital, Tegal City, was selected through purposive sampling. Data werecollected using a knowledge questionnaire and a medication adherence questionnaire. Data were analyzed usingthe chi-square test. Based on the analysis results, it was found that of the 60 patients with pulmonary TB atHarapan Anda Islamic Hospital, Tegal City, most were in the early elderly age (46-55 years), most were malebecause they were men, the majority were married, most had graduated from high school and most had privateemployment status. The level of compliance with taking medication in patients with pulmonary TB at HarapanAnda Islamic Hospital, Tegal City was in the high category. There was a relationship between the level ofknowledge and compliance with taking medication in patients with pulmonary TB at Harapan Anda IslamicHospital, Tegal City. There was a relationship between the level of knowledge and compliance with takingmedication in patients with pulmonary TB at Harapan Anda Islamic Hospital, Tegal City. Patients who had goodknowledge tended to be more compliant in undergoing treatment. These results serve as input for health servicesto provide health service programs to improve knowledge and compliance with taking medication in patients withpulmonary TB better.

Tuberculosis is one of world health problem, especially in developing countries. Treatment regimen with multiple first-line anti-tuberculosis drugs (ATD) such as Isoniazid, Rifampicin, Pyrazinamide, Ethambutol, And Streptomycin remains the most effective for treatment of tuberculosis. Adverse drug reactions (ADRs) to antituberculosis drugs may range from mild gastrointestinal disturbances to serious hepatotoxicity, peripheral neuropathy, and cutaneous adverse effects. We report a 65 year old male patient with a  complaint of yellowish discoloration of sclera, nausea and vomitting after three days of initiation of ATD theraphy. The patient has been diagnosed with Tuberculosis relaps and has been taking ATD since June 2024. Patient noted epigastric pain. Laboratory examination found an increase in bilirubin level and imbalance electrolyte. The treatment is in the form of discontinuation of ATD, supportive therapy and followed by hepatoprotective supplements. ATD should be discontinued in patients with hepatotoxicity and fixed drug eruption until liver function and clinical symptoms improve. Initiation of ATD administration is carried out by administering one by one regimen. The patient is currently experiencing antituberculosis drug-induced hepatotoxicity, which is managed by providing supportive care and  different AT regimen was prescribed.

Pulmonary tuberculosis remains a pressing public health problem, particularly in the work area of the Duduk Health Center (UPT Puskesmas). Effective management of this disease requires a thorough understanding of the characteristics of the causes of pulmonary TB in patients. This study aims to classify pulmonary TB cases based on the main causes such as diabetes mellitus, irritant factors, pleural effusion, and family environmental conditions. The research method used is a clustering technique with the K-Means algorithm. The data used are data on pulmonary TB patients in 2020–2025 with variables of age, gender, and causative factors collected from medical records. The analysis process was carried out using MATLAB R2014b software. The clustering model was carried out in 3, 4, and 5 clusters to compare the level of segmentation efficiency. Based on the calculation results, the model with 5 clusters showed the lowest cluster variance value of 0.4889 compared to the 3-cluster model (0.7333) and 4-cluster models (0.6151), which indicates that the division into 5 clusters produces the most compact and representative data group. Each cluster shows a different combination of characteristics of pulmonary TB patients, for example: (1) elderly male patients with comorbid diabetes; (2) adolescent females with the negative influence of environmental factors; (3) adult males exposed to irritants; (4) patients with pleural effusion; and (5) groups with multiple factors. The results of this study can provide strategic input for the Finished Community Health Center UPT in formulating more targeted and targeted intervention policies in order to prevent, control, and handle pulmonary tuberculosis cases in a sustainable and effective manner.  

Tuberculosis (TB) is an infectious disease caused by infection with bacteria from the Mycobacterium tuberculosis complex group. TB prevention efforts are crucial, especially for individuals at high risk of exposure, to disrupt the chain of transmission of this disease. The intervention aimed to increase community understanding of TOSS TB (Find, Treat, Treat Until Cured) so that it can be applied in daily life. It is expected that after the intervention, participants' knowledge will increase, as will their ability to demonstrate the practices taught appropriately. Data collection was conducted through a mini-survey of the community in the local Community Health Center (Puskesmas) working area. The data obtained were then analyzed using the Blum Paradigm to identify factors contributing to the problem. Problem prioritization was carried out using the non-scoring Delphi method, while root cause analysis was conducted using a fishbone diagram. During the intervention process, pre- and post-tests were conducted to evaluate changes in the level of knowledge of villagers before and after the intervention. For program monitoring and evaluation, the PDCA (Plan-Do-Check-Act) cycle approach and a systems approach were used. The analysis using the Blum Paradigm showed that lifestyle was the primary contributing factor to the problem. After the intervention, three participants were able to repeat the material effectively, demonstrating a better understanding of TB prevention. Based on these results, it can be concluded that the intervention was successful and is expected to encourage improvements in public health in the village. Furthermore, this program is also expected to serve as a model for other public health interventions, thereby expanding the positive impact of TB control efforts in other areas. Thus, public awareness and knowledge about TB can continue to increase, which in turn will contribute to reducing TB incidence in Indonesia and improving the overall quality of life of the community.

Pulmonary tuberculosis (TB) remains a major public health concern in Indonesia. Active family involvement in both prevention and treatment is crucial; however, many families have yet to fulfill their health-related responsibilities effectively. This study aimed to evaluate the effect of health education through the IKAT TB (Tuberculosis Health Information) application on family health responsibilities in the prevention and treatment of pulmonary TB. A pre-experimental design with a one-group pretest-posttest approach was used. The sample consisted of 46 respondents selected through total sampling. The intervention involved providing education via the IKAT TB application, and data were collected using a family health responsibility questionnaire. Data were analyzed using the Wilcoxon Signed Rank Test. The results showed an increase in family health responsibility scores following the educational intervention. The Wilcoxon test produced a p-value of 0.000 (p < 0.05), indicating a significant difference between pre- and post-intervention scores. The findings suggest that health education delivered through the IKAT TB application is effective in enhancing family engagement in TB prevention and treatment. Digital media platforms such as mobile applications offer accessible information and can strengthen family involvement in TB care.

Tuberculosis is still a health problem in the community, regular treatment can minimize transmission, and the combination of herbal medicine with anti-tuberculosis drugs can reduce tuberculosis symptoms. Currently, the community does not understand herbal medicine for the treatment of tuberculosis symptoms. Health education is needed for information about the benefits and impacts of herbal medicine in the treatment of tuberculosis. The purpose of this community service is to provide information to families as a companion to the use of herbal medicine for the treatment of tuberculosis symptoms. This community service uses a participatory Action Research (PAR) approach. This approach allows for active interaction with the community. This community service uses lecture and discussion methods for families at risk of tuberculosis, education is given with a time of 1 (one) meeting with a duration of 60 minutes. The media used are leaflets and booklets to make it easier for families to understand herbal medicine. The results obtained after health education were carried out were an increase in family understanding of the benefits and side effects of using herbal medicine for the treatment of tuberculosis symptoms. It is hoped that health education can provide information about the use and side effects in the treatment of tuberculosis symptoms. Keywords: Health education, Herbal Medicine, Tuberculosis

Mycobacterium Bovis is a serious infection that affects cattle and has ramifications for human health, especially in areas where close contact between humans and animals is widespread and pasteurization of dairy products is not widely used. The purpose of this work is to identify risk factors connected with M. bovis infection, estimate the prevalence of the disease in east Darfur State, and underline the main aspects of the disease. The study included a total sample size of 100 cows milk collected from different localities of East Darfur State in Sudan ( Abu Matarq 21.1%, Yaseen 15.3%,El-Daein 22.1%, Abu Karinka 6.8% and Assalaya 5.1% ) this study estimated that 25% of the collected raw milk specimen was positive for mycobacterium. The incidence of Mycobacterium Bovis in Sudan is the result of a complex interaction of cattle management techniques, environmental conditions, and public health initiatives. While there is increased knowledge of the disease and efforts to control it, obstacles such as limited resources, cultural customs, and environmental stressors continue to impact its tendencies.  

Immunization is one of the most effective and efficient public health efforts in preventing diseases and reducing mortality rates in children such as smallpox, polio, tuberculosis, hepatitis B, diphtheria, measles, rubella, congenital rubella syndrome (CRS), tetanus, pneumonia (lung inflammation) and meningitis (inflammation of the brain membrane) (Nandi & Shet, 2020). Data from the Indonesian Ministry of Health in 2020 showed that vaccination coverage in the 3rd and 4th months was months. However, efforts can be made to increase child vaccination coverage to 80% and that does not include DT, MR2, and HPV vaccinations. As, measles data is only 45%, diphtheria-tetanus (DT) is around 40% (Indonesian Ministry of Health, 2021). To determine the relationship between maternal knowledge and the completeness of basic immunization in children at the Raden Omas Posyandu. This study uses a quantitative research design with a cross-sectional method. The population in this study consisted of mothers who had children aged 12 to 18 months at Posyandu Raden Omas, totaling 36 mothers. The statistical results showed a relationship between maternal knowledge and the completeness of basic immunization in children p-value (0.048). Most respondents had good knowledge, as many as 13 respondents (36.1%). Sufficient knowledge, as many as 13 respondents (36.1%). Insufficient knowledge, as many as 10 respondents or 27.8%. Most respondents had incomplete immunization, namely 18 respondents (50%).

One of the infectious diseases that is a problem in the world is Pulmonary TB with the main symptoms of shortness of breath, chest pain when coughing and breathing due to airway obstruction. If not treated, it can cause death, so it needs treatment, one of which is with effective coughing exercises. The activity begins with measuring the respiratory rate, then effective coughing exercise therapy. Education is carried out to relieve the respiratory tract by expelling sputum for Pulmonary TB sufferers and in collaboration with local village officials. The method used in this activity is counseling on effective coughing exercises from a team of nursing lecturers and nursing students during Field Learning Practices of 32 respondents. The results obtained from respondents before being given education were 32 people with a high respiratory rate> 25x / minute and after education there was a change in the normal range of 23-25x / minute as many as 26 people and 6 others with a high respiratory rate> 25x / minute. The output of the PkM that has been implemented is expected to increase the respiratory rate after effective coughing exercises are applied in the community.

Tuberculosis (TB) remains one of the main challenges in the health sector in Indonesia, with a fairly high number of cases each year. This study aims to analyze the distribution of TB cases based on occupation and identify community groups that are at higher risk of spreading this disease. The data used in this study were obtained from estimates of the 2022 TB epidemiology report. The results of the analysis show that informal workers, such as laborers and traders, are the group with the highest number of TB cases, at 36.0%. This is followed by formal workers (21.6%), farmers/fishermen (17.3%), housewives (14.4%), students (6.5%), and unemployed or retired groups (4.2%). The high prevalence of TB in informal workers is caused by several factors, including an unhygienic work environment, limited access to health services, and unhealthy lifestyles. Based on these findings, a more effective strategy is needed in efforts to prevent and control TB, especially for groups with high levels of vulnerability. Health education, increasing access to health services, improving work environment sanitation, and early detection programs are important steps in reducing the spread of TB. With the right intervention, it is hoped that the number of TB cases in Indonesia can be reduced significantly.