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Bureaucratic rigidity is a form of public administration pathology that remains a serious problem in Indonesian governance. The bureaucracy's rigid, hierarchical nature, slow decision-making, and resistance to change are major obstacles to the government's digital transformation process. Amidst the demands of the digital era, which prioritizes speed, transparency, and efficiency, an unadaptive bureaucracy actually slows down innovation in public services and erodes public trust in the government. This study aims to analyze bureaucratic rigidity as a disease in public administration and its impact on the implementation of digital transformation in Indonesia. The method used is a qualitative approach with a literature review. The results indicate that bureaucratic rigidity is caused by a conservative organizational culture, complicated regulations, and low human resource capacity to adapt to technology. Furthermore, a lack of system integration and weak transformational leadership exacerbate these conditions. Digital transformation is not merely a technological issue, but a paradigm shift in governance. Therefore, comprehensive bureaucratic reform is needed, including simplifying procedures, strengthening the digital competency of civil servants, and shifting the work culture to be more flexible and innovative. Thus, an adaptive and responsive bureaucracy can be realized as the foundation of an effective digital government that is oriented towards public services.

Gastric health problems such as gastritis and Gastroesophageal Reflux Disease (GERD) remain common, particularly among children and adolescents, due to irregular eating patterns, excessive consumption of spicy and acidic foods, and a lack of understanding of healthy lifestyles and proper nutrition. The partner of this Community Service Program (PKM) was LKSA Santa Anna Orphanage in Bojonegoro, where limited knowledge regarding gastric health, differences between gastritis and GERD, and preventive efforts was identified among the residents. This PKM activity aimed to increase partners’ knowledge and awareness of gastric health maintenance through the application of healthy eating patterns, balanced nutrition, and appropriate lifestyle practices. The program included educational sessions, interactive discussions, and simple demonstrations to enhance participants’ understanding and engagement. Previous studies indicate that health education and regular eating habits are effective in preventing gastric disorders; therefore, this socialization activity is expected to encourage positive and sustainable healthy behavioral changes, improve daily dietary habits, and support long-term gastric health and overall well-being.

Acute Respiratory Tract Infection (ARI) is a global health problem that significantly contributes to high morbidity and mortality rates. The goal of this activity is to educate residents about preventing ARI, so that they have a good understanding of the disease and are able to take preventive measures independently. The program included information on ARI, simple inhalation therapy, and proper waste disposal. Prior to the health promotion on ARI prevention, 70% of residents had poor knowledge about the disease. After the activity, there was a significant increase in knowledge, with 90% of residents demonstrating a good level of understanding. This improvement indicates a positive shift in public awareness regarding ARI prevention. The activity successfully emphasized the importance of prevention efforts for ARI, focusing on promoting Clean and Healthy Living Behaviors (PHBS). Educating the community about ARI prevention is crucial in reducing the incidence of the disease. Regular health promotion activities, particularly those targeting community participation and practical steps for prevention, are vital for enhancing public health and preventing ARI, which remains a major cause of illness and death worldwide. The results highlight the effectiveness of health education in raising awareness and improving knowledge on preventing ARI.

Food Additives (BTP) in current consumer products increase the risk of non-communicable diseases such as diabetes, kidney failure, and cancer, particularly in children. Housewives play a central role in managing family consumption to minimize these risks. This community service activity aims to enhance the knowledge and awareness of 'Aisyiyah women in Buluspesantren, Kebumen Regency, regarding food safety and BTP regulations. The implementation method included preparing materials based on BPOM regulations, interactive education, product discussions, and simulations on reading nutrition labels. The results showed high enthusiasm from participants who are now more critical in distinguishing between natural and synthetic additives. Participants reported a significant improvement in their ability to identify food ingredients and additives in everyday products. The final evaluation recorded a 22.2-point increase in participant understanding. By establishing the habit of reading food labels, it is expected that the risk of non-communicable diseases within the family environment can be reduced, thus improving public health literacy and dietary choices within the community.

Depression is one of the mental health problems that often arise in patients with chronic diseases, such as diabetes mellitus, hypertension, and chronic kidney failure. This condition not only impacts the patient's quality of life, but also affects the treatment process and the burden on the family. However, mental health literacy in the community is still low, so targeted preventive and curative efforts are needed. The Community Service Program (PKM) aims to improve people's mental health through educational interventions with scientific booklet media that are easy to understand and apply. The activity method is carried out in a participatory manner, including the preparation stage, socialization, educational implementation, and evaluation. Education is provided to the community with a focus on preventing depression through a healthy lifestyle, stress management skills, and early intervention efforts by seeking professional support. Evaluation is carried out through pre-post tests, observations, and group discussions. The results of the activity showed an increase in public knowledge about depression, a change in attitudes to be more open in expressing feelings, as well as practical skills in relaxation, maintaining sleep patterns, and building social support. Participants also better understand the importance of seeking professional help when depressive symptoms are getting worse. The conclusion of this PKM is that the scientific booklet has proven to be effective as a preventive and curative educational intervention medium, and can be an innovative strategy in improving the mental health of people affected by chronic diseases.

This study evaluates the Cageur Jasa Health Service Program at the Tanah Tinggi Public Health Center in Tangerang City, which was developed as an innovation to expand access to basic healthcare services through home visits. The program aims to improve service quality, strengthen family independence in maintaining health, and support the achievement of the 12 indicators of the Indonesia Healthy Program with a Family Approach (PIS-PK). The evaluation applies William N. Dunn’s six policy evaluation criteria effectiveness, efficiency, adequacy, equity, responsiveness, and appropriateness supported by theoretical frameworks from public administration, public policy, and health service innovation. This research employs a qualitative descriptive method, with data collected through observation, in-depth interviews with informants, and secondary data analysis. The findings indicate that the program’s implementation has not fully achieved its intended objectives, as evidenced by declining service coverage, several PIS-PK indicators remaining below 50%, increasing disease findings, and the persistence of maternal and infant mortality cases. Limitations in resources, coordination, infrastructure, and suboptimal promotive and preventive efforts further hinder the program’s effectiveness. Overall, the study concludes that although Cageur Jasa contributes to improving healthcare access, its implementation at the Tanah Tinggi Public Health Center remains suboptimal and requires continuous improvement.

Cooking oil is a staple food widely used in daily cooking. However, repeated use of cooking oil, resulting in its conversion into used cooking oil, can have negative impacts on both health and the environment. Used cooking oil that has changed color and quality is carcinogenic and has the potential to increase the risk of cardiovascular disease if consumed again. Furthermore, improper disposal of used cooking oil can cause environmental pollution because it is difficult to decompose. This study aims to examine the wise management of household waste, especially used cooking oil, by utilizing it into products with utility value. One form of utilization is processing used cooking oil into environmentally friendly soap for laundry purposes. This activity was carried out as a form of community service through training in making soap from used cooking oil with the addition of essential oils for aromatherapy for residents of Pasar Rawa Village, Gebang District, Langkat Regency. The research method used was qualitative, with observation and direct participation in the training activities. The results showed that participants, particularly housewives, demonstrated high enthusiasm and were actively involved in both the presentation and the soap-making practices. This activity not only raised public awareness of the importance of managing used cooking oil waste but also provided new skills that have the potential to support family economic growth.

The purpose of this activity is to socialize the implementation of biosecurity as an effort to prevent disease in cattle in Luhulely Village, Pulau Letti District, Southwest Maluku Regency. This activity was carried out using a socialization method involving beef cattle farmers and all Luhulely Village staff. The implementation of the activity was divided into 2 sessions, namely a material presentation session and an interactive discussion session. Some general steps in implementing biosecurity include the following: access management, animal movement control, cleanliness and sanitation, waste management, animal health monitoring, and vaccination. This socialization activity was attended by approximately 20 participants consisting of beef cattle farmers and several Luhulely Village staff. Several important things that can be concluded from the implementation of this activity are as follows: the majority of farmers showed an increased understanding of the importance of biosecurity after participating in the socialization, the farmers expressed their readiness to implement various biosecurity measures, such as quarantine of new livestock, waste management, and provision of adequate sanitation facilities in the livestock area, and several farmers requested further assistance regarding the implementation of more detailed biosecurity, including correct livestock vaccination techniques. The conclusion of this activity is that the socialization of biosecurity implementation on cattle farms is expected to increase farmers' awareness and understanding of maintaining livestock health and preventing disease transmission. Through proper biosecurity implementation, it is hoped that healthy, more productive, and sustainable livestock conditions will be created.

The livestock sector in Gowa Regency, South Sulawesi, has great potential but is often threatened by outbreaks of Foot and Mouth Disease (FMD), which cause significant economic losses. This study aims to evaluate the FMD control policies implemented by the Gowa Regency Government based on William Dunn's six policy evaluation criteria: effectiveness, efficiency, adequacy, equity, responsiveness, and accuracy. The study used a qualitative approach with primary data collected through in-depth interviews with key informants from the Livestock and Animal Health Division of the Gowa Regency Livestock and Plantation Service and supporting data from various literature. The findings show that the FMD control policy is effective in achieving zero cases, but efficiency is hampered by limited medical personnel (only two veterinarians) and operational budget dependence entirely on the Central Government. Vaccine adequacy is a pull sistem (demand-driven) and compensation distribution is carried out fairly. Community responsiveness increased after severe losses, and policy accuracy was considered most optimal in the implementation of biosecurity and sanitation while promoting vaccination. As a recommendation, the Gowa Government needs to recruit contract workers in the field of animal health, allocate funds for the procurement of operational vehicles and equipment to support laboratory facilities, and issue a Regent Regulation that strictly regulates the implementation of biosecurity and livestock housing patterns in high-risk areas.

The background of this research is based on Cervical cancer, a disease that poses a serious threat to women's health in Indonesia. Early detection through prevention programs such as IVA (Visual Inspection with Acetic Acid) is a crucial step in reducing the number of cervical cancer cases. In this effort, an effective communication strategy from the Pasar Minggu District Health Center plays a very important role. This study focuses on the prevention program and communication strategies implemented at the Pasar Minggu District Health Center. This study uses a qualitative approach with a descriptive study method. Data collection techniques were carried out through in-depth interviews with Health Center officers, observations of socialization activities, and documentation. The results show that the communication strategies implemented by the Pasar Minggu District Health Center include informative, educational, and persuasive communication strategies. The Health Center utilizes various communication channels such as social media and direct counseling. Obstacles faced include low levels of public health literacy, stigma against IVA examinations, and limited human resources.

The utilization of Artificial Intelligence (AI) in healthcare services and medical diagnosis in Indonesia has grown rapidly alongside the digital transformation of the health sector. AI technology has been employed to improve service efficiency, accelerate diagnostic processes, and enhance disease detection accuracy, particularly through medical imaging and ECG data analysis. Algorithms such as K-Nearest Neighbor (KNN) and Chi-Square have shown effectiveness in heart disease classification. However, despite its benefits, AI implementation presents legal challenges. The absence of specific regulations regarding legal liability in cases of AI-based diagnostic errors creates uncertainty for both medical professionals and patients. Additionally, the lack of national standards, weak patient data protection, and digital literacy gaps present significant obstacles. Adaptive policies, the establishment of dedicated regulations, and collaboration between government, medical practitioners, technology developers, and academics are essential to develop a legal framework that accommodates AI advancements responsibly. With clear legal certainty, AI technology can be optimally utilized to support more inclusive and high-quality healthcare services.

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.

This Community Service (PkM) activity is intended to solve problems that exist in certain community groups in adulthood. Hypertension can result in dangerous diseases such as heart disease and stroke if not treated in the long term. The PkM team provides education to provide solutions. The PkM activity implementation team collaborates with the local village government. The method used in this activity is counseling on hypertension from a team of nursing lecturers and nursing students during Field Learning Practice starting from anthropometric examination activities, blood pressure, blood sugar supplemented by interviews with the community. The respondents used in this educational activity were 35 people. The output of the PkM that has been implemented is in the form of reports and publications of articles so that they can be accessed by all parties who need related articles.

Non-communicable diseases (NCDs) are a global health challenge, especially in low- and middle-income countries. Early identification of NCDs in the productive age group is very important considering the contribution of the productive age group to the national workforce and its impact on the health of future generations. This community service activity aims to increase awareness and participation in school-based non-communicable disease screening programs, especially at St. Yoseph High School, East Jakarta. The implementation of screening activities includes anthropometric examinations, blood pressure, blood sugar, and short interviews. Students with unhealthy lifestyles, such as lack of physical activity and unbalanced diets, are at high risk of developing non-communicable diseases. This activity encourages public awareness of the importance of maintaining health to prevent non-communicable diseases. This can reduce the global health burden and the economic burden for advanced disease care. Thus, this activity can improve the quality of life of the productive age population in the future.

Efforts to increase fish farming productivity, motivating farmers to enhance the fish farming population in Pulau Semambu Village. Inderalaya Utara Village, Ogan Ilir, can be implemented through village lecture provision, training, and demonstration of artificial feed production based on maggots with the addition of water spinach leaf extract. The objective of this activity is to enhance the growth and immune system of fish livestock.Based on that reasoning, the framework of thought that will be pursued through the model approach (1) The approach is carried out through direct observation of the community while simultaneously mapping the latest fish farms in Pulau Semambu Village, Inderalaya Utara, Ogan Ilir.(2) Assistance, this activity is carried out through village lectures that can be realized in the form of outreach to fish farmers about improving fish farming management and providing support in motivating fish farmers to start implementing the concept of an intensive maintenance system in fish farming in maintenance ponds that meet health standards. (3) Direct demonstration (practice) of making artificial feed based on BSF maggots, which includes how to make water spinach leaf extract, how to maintain maggots, and how to make flour and pellets for artificial feed. The village lecture activity was attended by 40 women in the fish farming group in Pulau Semambu Village and students taking the Entomology and Entrepreneurship courses.The result of the activity is to increase the productivity and population of fish livestock in Pulau Semambu. The provision of fish feed based on a mixture of maggot flour and water spinach extract can enhance the growth and immune system of fish livestock, resulting in heavier fish that are less prone to disease. Increasing the production and population of fish livestock will result in higher incomes for the fish farmers in Pulau Semambu village, Inderalaya Utara, Ogan Ilir.

Non-communicable diseases (NCDs) have become the leading cause of death in Indonesia, particularly among young adults, with an increasing incidence rate. Technological advancements, lifestyle changes, and environmental factors have contributed to the rising prevalence of NCDs, especially among the younger generation. In light of this, it is essential to implement prevention through health screening and education on healthy lifestyles, particularly among young adults. This community service activity was conducted on December 20 and 21, 2024, with the aim of raising awareness among young adults in West Jakarta about the importance of adopting a healthy lifestyle through health screenings and the promotion of an active lifestyle, including education on nutrition status, physical activity, quality sleep, and the dangers of smoking, especially the use of e-cigarettes. The results of the activity showed that the majority of participants experienced sleep difficulties, and most did not smoke, although some used e-cigarettes. The results of nutrition status measurements also indicated that most participants fell into the obese category. Participants' physical activity levels were relatively low, with many engaging in less than 30 minutes of exercise per session and struggling to find time for regular physical activity. Education and promotion of healthy lifestyles need to be continuously improved to prevent NCDs among young adults, with a focus on improving eating habits, increasing physical activity, and managing stress.

In Indonesia, traditional medicine has a legal position that is recognized and protected by state law in the provisions of article 50 paragraph (1) and paragraph (2) of Law Number 36 of 2009 concerning Health. It is also stated in the new Law Number 17 of 2023 concerning health article 192 paragraph (1). Although traditional medicine is recognized and regulated by national law, traditional medicine practitioners can also engage in malpractice acts. Currently, people have a lot of problems with traditional medicine, which is too prone to mishandling patients' diseases because of its methods that have not been clinically tested. The increasing number of cases of fracture infection caused by fracture shamans every year is one example of inappropriate handling that occurs in the Kemak Tribe in Kampung Sadi, Belu Regency. This research is a socio-legal research supported by an empirical approach that uses primary data and secondary data collected using interview and observation techniques and processed and dialysed using Editing, Coding, Verification, and Interpretation techniques. The results of this study show that (1) Negligence in traditional medicine is a serious problem that has a wide impact on individuals and society. (2) In traditional medicine, the prevention and control of negligence requires a comprehensive approach through education, regulation, and cooperation between the government, practitioners, and conventional health workers.

Peptic ulcer is a condition where there is a wound or ulcer on the inner lining of the stomach. Gastroesophageal Reflux Disease (GERD) occurs when stomach contents flow back into the esophagus and can damage the mucosal lining of the esophagus. Extension activities carried out at SMA Santo Lukas 1, obtained pre-test results for correct answers of 82.08% and for wrong answers of 17.92%, while the post-test results showed a significant increase after the provision of material, namely for correct answers of 93.33% and wrong answers of 6.67%. This shows that most students understand the information delivered through counseling activities regarding GERD and peptic ulcers.

Cholesterol is a lipid compound produced by the body and obtained from food, functioning to build cell membranes, produce certain hormones, and support metabolic processes in the body. Excessive cholesterol levels can increase the risk of cardiovascular diseases. This Community Service initiative aims to enhance the understanding and awareness of staff and employees at St. Yoseph High School, Cakung, regarding the risks of high cholesterol and preventive measures through routine screenings and health education. The program follows the Plan-Do-Check-Act (PDCA) approach, encompassing planning for education and screenings, conducting information sessions and cholesterol measurements, evaluating program effectiveness, and implementing follow-up actions for continuous improvement. Education on a healthy lifestyle, which includes a balanced diet, physical activity, and avoidance of alcohol and smoking, plays a vital role in maintaining normal cholesterol levels. Routine screenings are also essential for the early detection of high cholesterol risks. This initiative is expected to promote healthy behaviors and support improved workplace health by raising awareness about the importance of cholesterol prevention in the work environment.

Health services aim to maintain and improve the quality of health, as well as prevent and treat diseases in the community.This study aiming to analyze the legal certainty for health workers in health services, using the normative legal method. The data source comes from a literature review. The results of this study indicate that Law Number 17 of 2023 regarding Health brings significant changes to the legal certainty for health workers in Indonesia in terms of health services. Previously, legal certainty for health workers was spread across various separate laws. However, with the enactment of Law Number 17 of 2023, this legal protection has become more integrated and comprehensive. Updates regarding the protection of health workers include increasing the rights of health workers, including affirmation of compliance with professional standards and ethics. There are improvements in rights, salary, performance allowances, health insurance, and opportunities for self development. This protection is strengthened by giving health workers the authority to stop services if there is a violation of ethics. It is necessary to strengthen operational procedures and work standards that can be a reference for health workers in carrying out their duties, thereby reduce the risk of negligence that can result in criminal sanctions and additional regulations are also needed to ensure a fair legal mechanism for health workers in facing accusations of negligence, by considering ethics and professional aspects in their work.