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Anxiety in patients undergoing preoperative vitrectomy can have a significant impact on biological, psychological, social, and spiritual aspects, manifesting as increased blood pressure, pulse rate, respiratory rate, and sleep quality disturbances that can affect physiological and psychological balance. Blood pressure is influenced by the autonomic nervous system, making anxiety and sleep quality important factors related to cardiovascular stability. This study aims to explain the relationship between sleep quality and anxiety with blood pressure in preoperative vitrectomy patients. The research design used was a cross-sectional correlation study involving 108 respondents. The instruments used included the Pittsburgh Sleep Quality Index (PSQI) to assess sleep quality, the Zung Self-Rating Anxiety Scale (ZSAS) to assess anxiety, and blood pressure measurements before surgery. The analysis used the Spearman test. The results showed that most respondents were in the early elderly age category (34.3%), had a high school education (54.6%), and were employed (57.4%). Most experienced mild sleep disturbances (81.5%) and mild anxiety. The average systolic blood pressure of respondents was 133.50 mmHg (SD 11.569) and diastolic blood pressure was 84.29 mmHg (SD 11.081). Spearman's test showed a relationship between sleep quality and systolic blood pressure (r=0.237; p=0.014) and diastolic blood pressure (r=0.428; p=0.001), as well as between anxiety and systolic blood pressure (r=0.502; p=0.001) and diastolic blood pressure (r=0.326; p=0.001). It was concluded that there was a relationship between sleep quality and anxiety with the blood pressure of patients undergoing preoperative vitrectomy. Nurses are advised to conduct early screening and simple interventions to reduce anxiety and improve the sleep quality of patients

Non-Communicable Diseases (NCDs) are major health problems that are influenced by genetic, physiological, environmental, and behavioral factors of individuals. One of the most common NCDs is Diabetes Mellitus (DM). Based on data from the Semarang City Health Office in 2023, there are 5,991 cases of DM that not only affect the elderly, but also adolescents, adults, and pre-elderly groups. This condition shows that type 2 DM is a serious challenge that affects the quality of life of sufferers. This study aims to analyze the relationship between family support and quality of life of type 2 DM patients at the Mangkang Semarang Health Center. The research method used is quantitative with a correlative descriptive design. A sample of 120 respondents was obtained through accidental sampling techniques, while data was collected by standardized questionnaires. The results showed that the average age of the respondents was 54 years old with the majority being female (55.2%) and having an elementary school education level (53.3%). The average family support score was 81.38, while the average quality of life of patients reached 86.15. This study concluded that patients with type 2 diabetes generally received good family support and had a positive quality of life. Furthermore, there is a positive relationship between family support and quality of life, where the greater the support provided, the more optimal the quality of life of type 2 DM patients.

Community Service Program (Kuliah Kerja Nyata/KKN) is a community service program integrated into the higher education curriculum, aiming for students to apply theoretical knowledge into real-world practice and contribute to community development and empowerment. This KKN activity was carried out in Dusun IV, Tuntungan II Village, Deli Serdang Regency, from July 1 to August 1, 2025. The main objective of this program was to address various local issues such as limited use of appropriate technology, low environmental awareness, and a lack of human resource development. The method used was field observation to ensure that the programs implemented were in line with the community's needs and potential. Various activities were carried out, including community clean-up (gotong royong), teaching at elementary schools, health counseling for mothers and the elderly, Qur'an recitation lessons for children, compost making, planting a "living pharmacy" (apotek hidup), and assisting with UMKM product marketing. The results of this program showed a positive impact, such as increased community knowledge of health, environmental cleanliness, and the use of organic fertilizer. Furthermore, UMKM assistance successfully improved business owners' understanding of digital marketing. Overall, this KKN activity successfully created synergy between the university, the village government, and the community, while also providing valuable experience for students in leadership and teamwork.

The Intensive Care Unit (ICU) is a specialized unit in a hospital that provides intensive care and close monitoring for critically ill patients. This unit is equipped with advanced medical equipment such as ventilators and hemodynamic monitors, and has a high staffing ratio to ensure optimal care (Smith & Jones, 2020; Brown et al., 2019; Williams & Green, 2021).  The multidisciplinary team in the ICU, including specialist physicians and trained nurses, works together to meet the medical and psychological needs of patients (Taylor, 2022; Miller & Adams, 2018). According to the WHO (2023), 10–20% of hospital patients require ICU care. In Indonesia, ICU patients account for approximately 15% of total hospital patients (Kusuma, 2021). Data from Dr. Moewardi Regional Hospital (RSUD) shows an increasing trend in ICU patients, primarily due to infectious diseases (Ministry of Health, 2021). Meanwhile, in the ICU of Sultan Agung Islamic Hospital (RSI Sultan Agung Semarang), 1,278 patients were admitted between January and October 2024, with the most cases being respiratory failure (143 patients). This study used a quantitative design with a cross-sectional approach. The sample consisted of conscious patients treated in the ICU and met the inclusion criteria, with 71 respondents.  The research instrument used a validated questionnaire to measure family support, therapeutic communication, and anxiety levels. Data analysis was performed using the Spearman test. Based on the Spearman test, the 71 respondents were found to have the following characteristics: the highest age group was early elderly (36.6%), the highest gender was male (64.8%), the highest education level was high school (45.1%), the highest occupation was 80.3%, high family support (74.6%), good therapeutic communication (90.1%), and mild anxiety (59.2%). There is a significant relationship between family support and patient anxiety levels. Furthermore, therapeutic communication also significantly reduced patient anxiety levels in the ICU at Sultan Agung Islamic Hospital, Semarang.

  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.

Gunung Kijang Subdistrict in Bintan Regency is one of the areas still facing various socio-economic challenges, particularly related to poverty issues. The problems faced include low income, limited access to education and healthcare, lack of employment opportunities, and low quality of life. Therefore, the Family Hope Program (PKH) is present as a social policy intervention from the government to help reduce the impact of poverty both directly and in the long term in Gunung Kijang by fulfilling basic needs, increasing participation in education, raising awareness of the importance of health, and empowerment through social assistance. This study aims to determine the extent of PKH’s effectiveness in reducing poverty rates in Gunung Kijang Subdistrict, Bintan Regency. The study uses a qualitative approach with a descriptive method. Data collection techniques include interviews, direct field observations, and documentation. In its analysis, this study refers to William N. Dunn’s public policy evaluation theory, which includes six main indicators: effectiveness, efficiency, adequacy, equity, responsiveness, and accuracy. The results show that PKH has a positive impact on beneficiary families (KPM). The program increases school attendance of children from poor families in primary and secondary schools, as attendance is an important component in the disbursement of aid. In addition, PKH encourages poor communities to be more active in accessing health services, such as community health centers (puskesmas) and integrated health service posts (posyandu), especially for vulnerable groups such as pregnant women, toddlers, and the elderly. The Family Hope Program (PKH) contributes to reducing the impact of poverty in Gunung Kijang Subdistrict. Although it has not fully resolved the root problems, PKH has the potential to be a tool to break the cycle of poverty and improve the quality of life of poor communities sustainably.  

Dental and oral health issues in Indonesia remain a critical concern, with a high prevalence, particularly in dental caries and periodontal diseases. Based on data from Riskesdas 2018 and the 2023 Indonesian Health Survey, more than 50% of the population suffer from caries, with the highest rates found among children and the elderly. This literature review aims to identify the characteristics of oral health problems, risk factors, health and socioeconomic impacts, and the intervention strategies implemented in Indonesia. The study employs a narrative review method by analyzing national publications from 2015 to 2025 that meet inclusion criteria. The findings reveal that the main determinants include low oral health literacy, high sugar consumption patterns, limited access to dental services, and socioeconomic factors such as education and income. The impacts include decreased quality of life, reduced work productivity, and increased burden on the healthcare system. Effective prevention and control strategies involve school- and community-based health promotion, the use of technology such as teledentistry and mobile applications, improvement in basic service access, as well as regulatory policies on sugar consumption and incentives for healthcare personnel in remote areas. Multisector collaboration and continuous research are essential to significantly reduce the burden of oral diseases in Indonesia.

This study aims to find out how Program Keluarga Harapan (PKH) in reducing poverty in Molibagu Village, Bolaang Uki District, South Bolaang Mongondow Regency and analyze what factors affect the effectiveness of Program Keluarga Harapan (PKH) in reducing poverty in Molibagu Village, Bolaang Uki District, South Bolaang Mongondow Regency. By using a qualitative method, a descriptive approach with an ethnographic research design. Data collection techniques through interviews, observations and documentation. Data analysis is carried out by means of data reduction, data presentation, and conclusion drawn. The results of the study show that Program Keluarga Harapan (PKH) in Molibagu Village, Bolaang Uki District, South Bolaang Mongondow Regency aims to reduce poverty by providing cash assistance to very poor families, especially those who have vulnerable members such as toddlers, pregnant women, school-age children, the elderly, and people with disabilities. Through this assistance, Program Keluarga Harapan (PKH) focuses on increasing family access to education, health, and welfare, so that it can reduce the economic burden they face. The factors that affect the effectiveness of Program Keluarga Harapan (PKH) in Molibagu Village, Bolaang Uki District are internal and external factors. Internal factors ensure the effectiveness of Program Keluarga Harapan (PKH) by ensuring the accuracy of aid receipts, smooth administration, recipient satisfaction, and officer performance in data collection, distribution, and mentoring. External factors focus on improving family welfare through access to quality education, as well as the social and economic impacts that can be obtained from employment opportunities, business capital, and market support that support family economic development.

Elderly in the Nurul Iman Islamic Boarding School for the Elderly often face emotional challenges such as feelings of marginalization, loss of purpose, difficulty accepting declining health, loss of a spouse or loved ones, and unpreparedness for death. If these feelings are continuously dwelled upon, they can lead to stress. The aim of this study is to describe the stress coping mechanisms of the elderly residing at the Nurul Iman Islamic Boarding School for the Elderly in Karanganyar. The research method used is qualitative with a phenomenological approach. The research location is at the Nurul Iman Islamic Boarding School for the Elderly in Karanganyar, located at Ngablak RT 01 RW 09, Papahan, Tasikmadu District, Karanganyar Regency. The subjects of this study are 3 individuals selected using purposive sampling technique. Data collection was conducted through interviews and observations. Data analysis techniques include data reduction, data presentation, and drawing conclusions. The results show that the elderly apply stress coping using emotion-focused coping. Furthermore, the subjects continue to strive to live their lives by accepting fate and being grateful for whatever happens. The subjects have formed new social groups at the Nurul Iman Islamic Boarding School for the Elderly in Karanganyar, engaging in activities such as religious study sessions, dhikr, and reading Iqro or the Quran. The conditions experienced by the subjects have enhanced their religiosity.

World Health Organization (WHO) hypertension is the leading cause of premature death worldwide. Changes in dietary patterns have occurred almost all over the world, both in developed and developing countries. Based on a preliminary study conducted at Posbindu Semanan 1 Jakarta on August 4, 2024, researchers interviewed elderly people with hypertension, elderly people still consume a lot of foods containing excess sodium (salt), salted fish, smoking, consuming caffeine, stress, and staying up late. All of these factors cause some respondents to experience hypertension. This study is a quantitative study with a cross-sectional analytical survey design. The population is the elderly living in RW.006, Semanan Village, in the working area of ​​UPT Puskesmas Semanan 1. The sampling technique for this study was nonprobability sampling with a purposive sampling method. The results showed that the majority of elderly people aged <60 were 21 (52.5%), the majority of elderly people were female as many as 27 (67.5%), and the majority of elderly people had elementary school education as many as 23 (57.5%). The results of the identification of the majority of elderly people with good knowledge were 23 (57.5%), the majority of elderly people experienced hypertension as many as 27 (67.5%). The results of the bivariate analysis showed a relationship between elderly knowledge about the food consumed and the incidence of hypertension, the majority of elderly people with poor knowledge were 15 (88.2). The relationship between elderly knowledge about the food consumed and the incidence of hypertension p-value 0.039 <0.05. The conclusion is that there is a relationship between knowledge and the behavior of food consumed and the incidence of hypertension.

A clean environment is an important factor in creating a comfortable and healthy learning atmosphere, especially in elementary schools where children are growing physically and mentally. The concept of introducing a clean environment from an early age has a strategic role in forming positive habits that will have an impact in the future. With the introduction of a clean environment program in elementary schools, it is hoped that students will understand the importance of maintaining a clean environment, both at school and at home prevention of stroke on the quality of life of the elderly.To provide an introduction to the concept of a clean environment in elementary schools, with the main aim of developing students' awareness and behavior in maintaining cleanliness from an early age. Implementation of Community Service Activities at State Elementary School 041 State Elementary School 041 has carried out community service activities regularly every week. This activity involves the entire school community, including the principal, teachers, students and school staff. Community service activities are carried out on Fridays every week, with a duration of around 1-2 hours. This research shows that community service activities in elementary schools are effective in introducing students to a clean environment. This activity can increase students' awareness and concern for the environment, build cooperation and a sense of shared responsibility in maintaining the cleanliness of the school environment, and become a learning tool that supports the creation of a clean and healthy environment.

Community Service (KKN) is a form of intracurricular which is an implementation of the Tridharma of Higher Education providing work and learning experiences for students in community empowerment. This KKN activity is an opportunity for creativity for students to think more critically in helping to advance the village through the potential and natural resources available in the village. Community service activities in the form of KKN are carried out for more than 1 month, starting from November 4 to December 7, 2024, located in Pealinta Dolok Saribu Village. The target of this community service activity is the general public of Pagaran Dolok Saribu village, elementary school children. The service is carried out in several stages, including observation, practice and discussion with village officials. After students conduct a survey of the location around the village, the Community Service Students determine the work program activities, namely 1. Revitalization of the Small Park Environment located in the PKK park, 2. Making Christmas Trees made from used bottle waste. 3. Social Education Activities, free tutoring carried out in the KKN Student post 4. Posyandu activities and elderly gymnastics in Pealinta Dolok Saribu village. Through KKN Activities in Pealinta Dolok Saribu Village, students can provide knowledge, time and energy that they have learned during their time on campus through various work programs that aim to help and provide benefits to the village.

Background: Type 2 diabetes mellitus is a disease with various causes or chronic metabolic disorders such as carbohydrates, lipids and proteins characterized by high blood glucose levels due to a lack of responsiveness of the body's cells to insulin, which will cause several impacts on the body. Objective: This research aims to determine the relationship between instrumental support and the quality of life of type 2 DM patients at the Ngemplak Simongan Community Health Center. Method: This research is a quantitative, cross sectional study involving 54 respondents who are members of Prolanis DM type 2 using a simple random sampling technique. Results: The research shows that the majority of respondents are elderly (<65 years) 24 (44.4%), women 34 (63, 0%), junior high school education 15 (27.8%), good instrumental support 53 (98.1%), and high quality of life 52 (96.3%). Conclusion: There is a relationship between instrumental support and quality of life (p-value 0.001), the strength of the relationship is moderate (r = 0.429) and the direction of the correlation is positive. The better the instrumental support, the higher the patient's quality of life.

Diabetes Mellitus is a serious disease that lasts a long time and causes disturbances in the body's metabolism, characterized by high blood sugar levels that exceed normal limits. The general aim of this research is to determine the characteristics of diabetes mellitus patients. This type of research uses total sampling, with a total of 121 respondents. The results of the research show that the characteristics of the Diabetes Mellitus patient age group are 19-39 young adults 4 respondents (3.3%), 40-59 adults 48 (39.7%), <60 elderly 69 respondents (57%). Characteristics based on gender are 75 respondents (62.0%) female, 46 respondents (38%) male. Categories based on occupation were housewives with 43 respondents (35.5%), entrepreneurs 30 respondents (24.8%), retired 20 respondents (16.5%), private sector 14 people (11.6%), farmers 8 people (6.6%), civil servants 5 people (4.1%), k. pln 1 person (8%). Characteristics based on high school education 72 respondents (59.9%), S1 37 respondents (30.6%), SMP 8 respondents (6.6%), DIII 4 people (3.3%). Based on education, namely Protestant 77 respondents (63.6%), Catholic 28 respondents (23.1%), Muslim 13 respondents (10.7%), Buddhist 3 respondents (2.5%). Based on education, Batak Toba 60 respondents (49.6%), B. Karo 36 respondents, B. Mandailing 5 respondents (5.4%), B. Simalungun 4 respondents (3.3%) Chinese 5 respondents (4.1%) , India 1 respondent (1%), Java 6 respondents (5.0%) Nias, 4 respondents (3.3%). It is hoped that it can increase knowledge and motivation about the importance of the role of nurses in managing diabetes mellitus both from the aspect of understanding the concept of self-care behavior and quality of life in diabetes mellitus sufferers.

This study aimed to assess the Quality of Life (QoL) of family caregivers of older persons with type 2 diabetes mellitus (T2DM) at home. The study utilized the 33-item Quality of Life Index to evaluate the QoL of 394 family caregivers caring for older persons with T2DM under the six Community Health Centers working area in City of Medan, Indonesia. Data analysis involved descriptive statistics and chi-square tests. The study found that the caregivers aged between 60 and 74 years reported a significantly higher prevalence of poor QoL (78.9%). Male caregivers were more likely to report poor QoL (84.7%) compared to female caregivers (45.0%). Unmarried caregivers have good QoL (100%) compared to widowed and married status (24% and 48.7%). Low level of education has poor QoL 83.1%. Spouse caregiver has poorer QoL compared to child and other relative’s relationships. Those caring for older persons with T2DM for less than 5 years (68.7% for 1-2 years and 71.9% for 3-5 years) reported poorer QoL compared to those caregiving for more than 6 years (44%). Caregivers who look after older adults with two and more than three chronic illnesses and complications tend to have a lower QoL. This study highlights that older age, male gender, married/widowed, elementary school, caregiver spouse, shorter caregiving duration (less than 5 years), and having comorbid and complication tend to have poorer QoL.

This study aimed to assess the Quality of Life (QoL) of family caregivers of older persons with type 2 diabetes mellitus (T2DM) at home. The study utilized the 33-item Quality of Life Index to evaluate the QoL of 394 family caregivers caring for older persons with T2DM under the six Community Health Centers working area in City of Medan, Indonesia. Data analysis involved descriptive statistics and chi-square tests. The study found that the caregivers aged between 60 and 74 years reported a significantly higher prevalence of poor QoL (78.9%). Male caregivers were more likely to report poor QoL (84.7%) compared to female caregivers (45.0%). Unmarried caregivers have good QoL (100%) compared to widowed and married status (24% and 48.7%). Low level of education has poor QoL 83.1%. Spouse caregiver has poorer QoL compared to child and other relative’s relationships. Those caring for older persons with T2DM for less than 5 years (68.7% for 1-2 years and 71.9% for 3-5 years) reported poorer QoL compared to those caregiving for more than 6 years (44%). Caregivers who look after older adults with two and more than three chronic illnesses and complications tend to have a lower QoL. This study highlights that older age, male gender, married/widowed, elementary school, caregiver spouse, shorter caregiving duration (less than 5 years), and having comorbid and complication tend to have poorer QoL.

Quality basic education is inextricably linked to teacher competence. Competence is a person's ability or capability to perform a task based on his abilities. However, following the Covid-19 pandemic, many schools, including instructors, are struggling to adapt to the New Normal Era. One of these is elementary School No. 11 Dauh Puri, one of Denpasar's public elementary schools. Most teachers are elderly, and professional skill is required to design instructional media in a creative manner. One of the issues of Elementary School 11 Dauh Puri is teacher competence. Teachers lack the necessary expertise in science and technology to create engaging learning materials, particularly for foreign languages, that spark student interest. One of the methods proposed for improving teacher abilities is to provide training in the use of Canva as learning materials as well as the usage of Quizziz for assessment or evaluation of student learning. Teachers appreciate community service, which includes the use of Canva and Quizziz to create teaching materials. Despite the fact that she had official training, the teacher feels helped.

ABSTRACT Background: Indonesia is one of the top five countries with the highest number of elderly people in the world. The Central Bureau of Statistics in 2017 stated that in a period of five years, the percentage of the number of elderly people in Indonesia had doubled, namely to 8.97% (23.4 million). The government has anticipated an increase in the number of elderly groups by holding an Integrated Service Post (Posyandu) for the elderly which is fostered by the Community Health Center (Puskesmas) spread across various regions in Indonesia. The purpose of this study was to describe the level of family knowledge about the elderly posyandu in Petak Village, Gianyar. Methods: This study uses descriptive research methods. The population in this study were families who have elderly people, and the sample in this study amounted to 83 people. The sampling technique used in this study was purposive sampling. The instrument used by the researcher was a questionnaire consisting of 20 questions. After the data from the questionnaire were collected, the data was coded first, after that it was processed / processed in IBM SPSS Statistics version 24. The inclusion criteria of this study were the head of the family / family member who lives in the Petak Village based on ID card, is willing to be a respondent, has the elderly aged 60-74 years, and the exclusion criteria were uncooperative families and did not allow data collection (illness). Results: The results of the study of 83 respondents, namely the level of family knowledge about the elderly posyandu mostly in the good category. Knowledge in the good category is 83 respondents (100%), the moderate category is 0 respondents (0%), and the poor category is 0 respondents (0%). Based on the characteristics obtained, most of the respondents were aged 36-45 years (45.8%), male gender (50.6%), last education was primary school (36.1%), and worked as farmers (57.8%). Conclusion: The level of family knowledge about elderly posyandu in Petak Village, Gianyar is mostly in the good category, as many as 83 respondents (100%).

Cervical cancer is a type of cancer that attacks the cervix in women and can be treated with chemotherapy. One of the side effects of chemotherapy is nausea and vomiting. Nausea and vomiting can be treated by administering Acupressure Pericardium 6. This study aimed to determine the effect of administering Acupressure Pericardium 6 on nausea and vomiting in post-chemotherapy cervical cancer patients. This type of research is quantitative, using a quasi-experimental pre-test and post-test one-group design. The study employed purposive sampling with 47 respondents, utilizing the INVR index measuring instrument. The results of the analysis showed that the majority were elderly, aged 46–65 years (70.2%), elementary school education level (42.6%), non-working employment status (61.7%), type of chemotherapy drug carboplatin (19.1%), and stage III cervical cancer (42.6%). Before receiving the acupressure pericardium intervention, post-chemotherapy patients experienced 6 frequencies of moderate nausea and vomiting (46.8%), and after the intervention, they experienced 6 frequencies of mild nausea and vomiting (44.7%). After that, a statistical test was carried out using the Wilcoxon test, obtaining a p-value of 0.000 or ≤ 0.05. In conclusion, pericardium 6 acupressure has an effect on nausea and vomiting in post-chemotherapy cervical cancer patients. Future researchers should develop variables and pay more attention to the timing of administering Pericardium 6 acupressure to ensure optimal results.      

The aim of this research is to find out how e-Government based public services are and to find out various factors inhibiting services in the e-Pusluh application in the Extension Sector of Palu City. The location of this research includes the Palu City Food Security Service. The types of data used are primary data and secondary data. The technique for collecting data and information is in-depth interview observation using interview guides and documentation. Determining informants was carried out using purposive sampling. The number of informants in this research was 05 (five) people. The data collected is filtered and selected based on needs which are then analyzed using qualitative descriptive methods.The theory used fromHarvard JFK School of Government, to implement the concept of digital-based public services, there are three elements of success that must be owned and taken seriously, namely Support, Capacity, and Value. Based on the research results, it was found that the implementation of E-Government based public services in the e-pusluh application in the Extension Sector of Palu City. Support or support from government leaders in the form of presidential regulations regarding the implementation of electronic-based government systems, regulations regarding the implementation of E-Government in general in Sulawesi Province Center and socialization of e-pusluh. Capacity or empowerment from the availability of information technology infrastructure resources such as computers, printing and WiFi is sufficient as well as the availability of competent human resources in carrying out e-government based services. The value element is the benefit felt by the Palu City Food Security Service instructors, namely providing convenience for both officers and instructors in reporting agricultural extension activities. The benefits felt by instructors include saving time without having to queue, online services can also save costs and transportation. The inhibiting factor for services in the e-Pusluh application is the lack of socialization from the Palu city government which is felt by the instructors, making many instructors still not understand how to use the e-Pusluh application. This is an obstacle in the process of implementing the e-pusluh application. Apart from that, the obstacles faced are the lack of familiarity of instructors, especially the elderly, with existing technologies and frequent maintenance on the e-pusluh application.