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Diabetes Mellitus (DM) adalah salah satu penyakit tidak menular yang prevalensinya terus meningkat, termasuk pada kelompok usia produktif. Deteksi dini melalui skrining glukosa darah sewaktu menjadi salah satu strategi penting dalam mengidentifikasi individu berisiko sehingga dapat dilakukan pemeriksaan konfirmasi dan penatalaksanaan lebih awal. Tujuan: untuk menganalisis hubungan antara hasil skrining glukosa darah sewaktu dengan kejadian Diabetes Mellitus pada kelompok usia produktif. Metode: Penelitian ini menggunakan desain observasional analitik dengan pendekatan cross-sectional. Sebanyak 30 responden usia 18–59 tahun yang mengikuti kegiatan Posbindu PTM di Desa Mandong dipilih menggunakan teknik purposive sampling. Analisis data dilakukan menggunakan Fisher's Exact Test dan Odds Ratio (OR) dengan tingkat kemaknaan 95% (? = 0,05). Hasil: Sebanyak 21 responden (70,0%) tidak mengalami DM dan 9 responden (30,0%) mengalami DM. Hasil analisis menunjukkan terdapat hubungan yang bermakna antara hasil skrining glukosa darah sewaktu dengan kejadian DM (p = 0,013). Responden dengan hasil skrining tidak normal memiliki kecenderungan peluang lebih tinggi mengalami DM (OR = 17,35; 95% CI: 0,90–336,24). Kesimpulan: Hasil skrining glukosa darah sewaktu berhubungan dengan kejadian Diabetes Mellitus pada usia produktif sehingga berpotensi dimanfaatkan sebagai metode skrining awal untuk mendukung deteksi dini di pelayanan kesehatan primer, yang selanjutnya perlu dikonfirmasi dengan pemeriksaan diagnostik standar.

Angka kematian neonatus masih tergolong tinggi dan menjadi masalah kesehatan baik secara global maupun nasional. Asfiksia neonatorum adalah salah satu penyebabnya tingginya angka kematian bayi baru lahir di Indonesia (27,0%). Di Kabupaten Lombok Barat, asfiksia neonatorum menjadi penyebab tertinggi kedua kasus kematian neonatal di Kabupaten Lombok Barat selama tahun 2020. Untuk mengetahui hubungan antara preeklamsia dengan kejadian asfiksia neonatorum di RSUD Awet Muda Narmada Kabupaten Lombok Barat Tahun 2021. Penelitian ini menggunakan metode observasional analitik dengan desain case control. Populasi terjangkau untuk kelompok kasus dalam penelitian ini yaitu seluruh bayi baru lahir hidup dengan asfiksia neonatorum di RSUD Awet Muda Narmada Kabupaten Lombok Barat Periode Januari sampai Oktober 2021 yang berjumlah 41 kasus, sedangkan populasi terjangkau untuk kelompok kontrol yaitu bayi bayi baru lahir hidup tidak asfiksia neonatorum di RSUD Awet Muda Narmada Kabupaten Lombok Barat pada periode yang sama berjumlah 765 kasus. Pengambilan sampel kasus dengan teknik total sampling sejumlah 41 kasus, dan pengambilan sampel dilakukan dengan menggunakan teknik simple random sampling sejumlah 41 kasus.  Data diambil dari register dan rekam medis pasien. Data dianalisis secara univariat dan bivariat dengan uji Chi-Square. Hasil analisis dengan uji Chi-Square menunjukkan nilai signifikansi 0,001 (p < 0,05) yang menunjukkan bahwa ada hubungan yang signifikan preeklamsia dengan kejadian asfiksia neonatorum. Ada hubungan preeklamsia dengan kejadian asfiksia neonatorum di RSUD Awet Muda Narmada tahun 2021. Diharapkan ibu hamil lebih waspada terhadap terjadinya preeklamsia, dan bagi bidan lebih meningkatkan upaya skrining faktor risiko pada ibu hamil, terutama preeklamsia sehingga dapat mencegah terjadinya asfiksia neonatorum.

Postpartum depression is a postpartum mental health disorder that significantly impacts maternal well-being, infant development, and family functioning. The high prevalence of postpartum depression in Indonesia is due to limited access to health services, low mental health literacy, and social stigma in the community. This indicates a significant gap between the need for maternal mental health services and the availability of existing interventions, making education a crucial component in efforts to prevent postpartum depression early. This study aims to analyze the prevention of postpartum depression in postpartum mothers through telenursing-based education and screening using the Edinburgh Postnatal Depression Scale (EPDS) in the community. A descriptive case study design was used, involving one respondent, a 25-year-old primigravida mother residing in the Bantul area. The intervention was implemented online via WhatsApp and video calls, including structured health education on postpartum psychological changes, adaptive coping strategies, and the importance of social support. The intervention also included daily remote monitoring of the respondent's condition via the WhatsApp mobile application. The EPDS was administered as a pre-test and post-test to evaluate changes in the respondent's psychological condition. The findings showed a significant decrease in the EPDS score from 16 (moderate depression) to 6 (minimal depression), indicating significant psychological improvement. These results imply that integrating EPDS screening, structured health education, and daily monitoring is an effective and accessible community-based approach to preventing postpartum depression, particularly for mothers with limited mobility and access to health services.

Background: Pregnancy is a crucial period that requires special attention to the mother's physiological and psychological aspects. Many pregnant women experience poorly understood physical and emotional changes, lack of early detection of high-risk pregnancies, and lack of knowledge about a healthy lifestyle during pregnancy, including physical activity and balanced nutrition. The main problems faced are pregnant women's lack of understanding of normal physiological and psychological changes during pregnancy, lack of knowledge about danger signs and how to detect high-risk pregnancies, low participation of pregnant women in physical activities such as prenatal exercise, lack of knowledge regarding balanced nutrition for pregnant women, and limited comprehensive health education facilities in the community. Objective: This community service activity aims to improve the health of pregnant women by strengthening promotive and preventive pregnancy classes. Methods: This community service activity included screening for high-risk pregnancies, providing materials on physiological and psychological changes in pregnancy, maternal nutrition, and early detection of complications in high-risk pregnancies. A demonstration of prenatal exercise practices was also conducted at the Pondokgebangsari Village Hall, Kuwarasan District, Kebumen Regency. The training, conducted in February 2026, involved 15 pregnant women in their first, second, and third trimesters. Results: This activity demonstrated an increase in mothers' knowledge about physiological, psychological changes, and pregnancy nutrition after education, with 8 receiving good and 7 receiving adequate education. Education on Early Detection and Danger Signs of High-Risk Pregnancy also increased, with 9 receiving good and 6 receiving adequate education. Thus, families are aware of the importance of attending pregnancy classes and see them as essential for a healthy pregnancy. Conclusion: Community service programs to strengthen pregnancy classes through education, high-risk screening, and nutrition counseling support efforts to improve maternal and infant health, and are an investment in the future.

Anemia in adolescents is a serious health issue that impacts students' concentration and productivity. This community service activity aims to conduct early detection of anemia through a comprehensive manual screening method at three high schools: SMA Sains Alumnika Palembang, SMA Candradimuka, and SMA Mandiri. The implementation method involved three main stages: identification of clinical signs and symptoms (5L), visual observation of the palpebral conjunctiva, and hemoglobin (Hb) level measurement using Point of Care Testing (POCT) devices. Held from April 1st to 8th, 2026, the activity involved the active participation of students and school authorities as an effort toward independent nutritional surveillance. The screening results showed a correlation between subjective symptoms, pale conjunctiva conditions, and Hb measurement results in the field. Changes in students' behavior regarding nutritional intake and the emergence of new awareness among school authorities about the importance of routine check-ups served as indicators of successful social transformation. In conclusion, integrated manual screening is highly effective as a preventive health measure for adolescents within educational environments.

Antioksidan adalah senyawa yang mempunyai struktur molekul yang dapat memberikan elektronnya kepada molekul radikal bebas dan dapat memutus reaksi berantai dari radikal bebas. Ketika memberikan elektronnya maka radikal bebas tersebut akan stabil dan berhenti bersifat reaktif pada atom atau molekul lain karena sudah bersifat oktet. Beberapa tumbuhan yang mengandung antioksidan yang tinggi adalah seledri. Seledri (Apium graveolens L) adalah tanaman yang memiliki banyak kandungan bagi kesehatan tetapi dalam pemanfaatanya seledri masih dianggap kurang. Sejauh ini tanaman seledri hanya digunakan sebagai penyedap suatu olahan masakan padahal manfaat dari seledri sangat banyak dan sangat disayangkan jika hanya sebagai pelengkap masakan. Tanpa disadari sesungguhnya tanaman seledri dapat dimanfaatkan secara lebih maksimal misalnya dengan kandungan minyak atsiri yang berada  dalam seledri. Penelitian ini bertujuan untuk mengetahui kandungan senyawa metabolit sekunder dengan uji reagen dan aktivitas antioksidan yang terdapat dalam Seledri (A. graveolens L) dengan menggunakan metode DPPH. Dengan mengetahui berapa kandungan antioksidannya maka seledri bisa dengan mudah dimanfaatkan misalnya dengan dibuat sediaan farmasi. Pada penelitian ini didapatkan hasil nilai IC50 12,53 ppm yang artinya nilai IC50 tergolong sangat kuat.   Adapun kandungan metabolit sekunder yang dinyatakan positif adalah, flavonoid, tanin, saponin, alkaloid, dan steroid. Senyawa metabolit sekunder tersebut memang sangat bermanfaat untuk kesehatan sehingga sangat disayangkan jika seledri pemanfaatnya masih belum maksimal.

The consumption of snacks among school-aged children has become a serious concern in public health due to the widespread use of hazardous food additives such as formalin, borax, Rhodamine B, and excessive artificial sweeteners. These substances are commonly found in food sold around schools and have the potential to cause metabolic disorders, organ damage, and an increased risk of non-communicable diseases. The low level of knowledge among students, teachers, and canteen managers regarding food safety and balanced nutrition exacerbates this condition. This community service activity aims to increase students' knowledge about healthy snacks and encourage early detection through simple health checks. This program was conducted at SMP/SMA Al-Husna Kemiling, Bandar Lampung, involving 20 students, 4 teachers, and 1 canteen manager. The results of the activity show an increase in knowledge among 95% of participants after the education, based on the posttest results. Most participants experienced an increase in scores of 10–50 points from the pretest. The lecture method supported by teaching aids proved effective in helping students understand the material provided.

Heart disease is the leading cause of death in Indonesia and globally, necessitating an early screening system that is both accurate and clinically trustworthy. Although XGBoost demonstrates high predictive performance, its black-box nature undermines clinical trust, while low recall risks missed diagnosis an unacceptable consequence in population screening, especially in middle-income countries with limited healthcare resources. This study aims to develop a sensitive, transparent, and implementation-ready heart disease screening framework through the integration of SHAP-based Explainable AI. The CDC's Indicators of Heart Disease dataset (319,795 samples) was processed according to WHO/CDC standards, followed by class imbalance handling, hyperparameter optimization using RandomizedSearchCV, evaluation based on metrics sensitive to minority classes (AUC, recall, F1-score, AUC-PR), and threshold tuning to maximize recall. The baseline model showed a very low recall of 12.18%. After optimization and threshold tuning at 0.10, the model achieved recall >96% (96.79%) with a G-mean of 0.7477, supported by SHAP interpretation stability and the ability to capture non-linear interactions between advanced age (AgeCategory_WHO) and poor general health (GenHealth). SHAP analysis confirmed the alignment of dominant features with medical evidence, and its visualizations provide transparent explanations for healthcare professionals indicating its potential implementation as an interpretable clinical decision support system.

Pemanfaatan tanaman obat sebagai sumber agen neurofarmakologis alami semakin mendapat perhatian seiring meningkatnya prevalensi gangguan sistem saraf dan keterbatasan penggunaan obat sintetis. Salah satu tanaman yang berpotensi namun masih terbatas kajian ilmiahnya adalah Kesambi (Schleichera oleosa), yang secara tradisional digunakan untuk berbagai keperluan pengobatan. Penelitian ini bertujuan mengevaluasi pengaruh variasi konsentrasi ekstrak daun Kesambi terhadap efek neurofarmakologi, serta mengidentifikasi pola respons dosis dan konsentrasi paling efektif dalam memodulasi sistem saraf pusat dan otonom. Penelitian ini menggunakan desain eksperimental dengan hewan uji yang dibagi ke dalam kelompok kontrol dan kelompok perlakuan. Ekstrak daun Kesambi diperoleh melalui metode maserasi menggunakan pelarut akuades dan diberikan secara per oral pada konsentrasi 1%, 2%, dan 4%. Evaluasi efek neurofarmakologis dilakukan melalui skrining perilaku terhadap delapan parameter, yaitu parasimpatomimetik, stimulasi sistem saraf pusat, depresi sistem saraf pusat, simpatolitik, relaksasi otot, simpatomimetik, parasimpatiolitik, dan analeptik. Hasil penelitian menunjukkan bahwa ekstrak daun Kesambi menimbulkan variasi respons neurofarmakologis yang dipengaruhi oleh konsentrasi. Konsentrasi 4% memberikan efek paling dominan pada sebagian besar parameter, khususnya depresi sistem saraf pusat, relaksasi otot, dan modulasi sistem saraf otonom, sedangkan konsentrasi 2% menunjukkan efek stimulasi sistem saraf pusat yang optimal. Temuan ini menunjukkan potensi ekstrak daun Kesambi sebagai neuromodulator.  

Cardiovascular diseases are the leading cause of death worldwide, accounting for 17.9 million deaths annually. Stroke and heart attacks often go undetected due to their silent nature. This community service activity aimed to increase community knowledge about stroke and heart attacks and conduct early detection through health screening. The activity was conducted in Lalimbue Village, Kapoiala District, Konawe Regency on May 11 and 18, 2025. Methods included healthy exercise, educational talk show, first aid workshop, and health screening (blood pressure, blood glucose, cholesterol). Knowledge evaluation used pre-test and post-test with 10 questions. Results showed 56 participants on implementation day and 17 on follow-up. Pre-test showed 23% had good knowledge, 34% moderate, and 43% poor. Post-test showed 87% good knowledge and 13% moderate. Health screening found 10.7% with hypertension and 10.7% with diabetes mellitus on implementation day. Follow-up found 47.1% with hypertension and 23.5% with diabetes mellitus. This study concluded that health education is effective in increasing community knowledge about stroke and heart attack prevention, and health screening is important for early detection of cardiovascular and metabolic diseases.

Perkembangan teknologi informasi memberikan kontribusi yang signifikan dalam peningkatan kualitas pelayanan kesehatan, khususnya dalam upaya deteksi dini Non-Communicable Diseases (PTM). PTM seperti diabetes melitus, hipertensi, penyakit kardiovaskular, dan obesitas memiliki prevalensi yang terus meningkat serta sering kali tidak terdeteksi pada tahap awal. Dinas Kesehatan Kabupaten Banyuwangi secara rutin melaksanakan program skrining PTM di fasilitas pelayanan kesehatan. Namun, berdasarkan hasil observasi lapangan, proses pencatatan dan pengelolaan data hasil skrining masih dilakukan secara manual menggunakan aplikasi spreadsheet yang tidak terintegrasi. Kondisi tersebut menyebabkan kesulitan dalam pelacakan riwayat kesehatan pasien, meningkatkan risiko ketidaktepatan data, serta memperlambat proses penyusunan laporan. Penelitian ini bertujuan untuk merancang Sistem Informasi Deteksi Dini Penyakit Tidak Menular berbasis web dengan fokus pada obesitas guna mendukung digitalisasi pengelolaan data kesehatan di lingkungan Dinas Kesehatan Kabupaten Banyuwangi. Metode penelitian yang digunakan adalah penelitian pengembangan sistem dengan model prototype, yang meliputi tahapan analisis kebutuhan, perancangan sistem, pembuatan prototype, serta evaluasi dan revisi berdasarkan umpan balik pengguna. Hasil penelitian menunjukkan bahwa sistem yang dirancang mampu mengelola data pasien, mencatat hasil pemeriksaan, menghitung Indeks Massa Tubuh (IMT) secara otomatis, serta menghasilkan laporan secara cepat dan terstruktur. Sistem ini diharapkan dapat meningkatkan efisiensi administrasi, akurasi data, serta mendukung pengambilan keputusan berbasis data (data-driven decision making) dalam pengendalian PTM.

Diabetes Mellitus often causes disorders in other organs, one of which is kidney disorders, commonly known as Diabetic Nephropathy. Diabetic Nephropathy (DN) is a chronic microvascular complication of Diabetes Mellitus, which is the main cause of end-stage kidney disease. Decreased hemoglobin (Hb) levels, or anemia, are very common clinical manifestations found in patients with this impaired kidney function. Pathophysiologically, the decrease in hemoglobin in DN patients is multifactorial, involving absolute or relative erythropoietin (EPO) deficiency due to damage to renal peritubular interstitial cells. As a result, there is a significant disruption of erythropoiesis, which can disrupt the process of red blood cell maturation in the hematopoiesis process. Monitoring hemoglobin levels is a crucial parameter because anemia in this DN population often appears earlier and is more severe than in non-diabetic chronic kidney disease patients. Therefore, early identification of fluctuations in hemoglobin levels is crucial in clinical management to prevent worsening of the systemic condition of patients with Diabetic Nephropathy. This study aims to review Hemoglobin levels in Type 2 Diabetes Mellitus Patients Based on Diabetic Nephropathy Stage in Anemia Screening. The method in this study used Descriptive Analytical with a sample of 47 respondents who met the inclusion criteria. The sampling and research location were conducted at Dr. Wahidin Sudirohusodo Hospital, Makassar. Hemoglobin measurements were measured using Sysmex Series XN-1000 with the Flowcytometry tool method. The results of the study found normal Hb levels (not anemic) in 25 respondents (53.20%), Mild Anemia in 6 respondents (12.80%), Moderate Anemia in 13 respondents (27.60%) and Severe Anemia in 3 respondents (6.40%). From these data, it is known that not all Diabetic Nephropathy patients in this study experienced Anemia.

The rapid rise of short-form social media platforms, particularly TikTok, among adolescents has raised concerns regarding excessive use and potential behavioral addiction that may negatively affect mental health and academic functioning. This community engagement program aimed to screen the risk of TikTok addiction among secondary school students in West Jakarta and provide education on healthy digital practices. The program was conducted at one private school in Jelambar, involving 306 students aged 11–18 years. Screening was performed using the TikTok Addiction Scale (TTAS) followed by digital literacy education. A Plan–Do–Check–Action (PDCA) framework was applied to ensure systematic implementation. The mean TTAS score was 39.97 ± 14.24 (range 20–84), indicating diverse levels of TikTok engagement. Female students demonstrated higher scores and wider distribution, suggesting greater vulnerability to excessive social media use. Digital hygiene and screen-time management education enhanced students’ awareness regarding social media addiction risks and appropriate preventive strategies. This program demonstrated the feasibility and effectiveness of TTAS-based screening for early identification of TikTok addiction risk. It highlighted the importance of integrating digital health promotion into school-based mental health programs to support adolescent well-being.

Chronic kidney disease (CKD) is a growing global health concern that frequently remains undiagnosed until advanced stages. Early detection through simple laboratory screening is essential to prevent disease progression and associated cardiometabolic complications. This community service program aimed to assess kidney function using serum creatinine and estimated glomerular filtration rate (eGFR), while increasing public awareness regarding CKD prevention. A total of 59 participants were included, with a mean age of 39.15 ± 15.39 years (range 16–75 years), predominantly female (74.58%). The mean serum creatinine level was 1.0 ± 0.19 mg/dL, and the mean eGFR was 91.08 ± 20.53 mL/min/1.73 m². Most participants demonstrated normal kidney function (28.8%) or mild decline (21.6%). A progressive reduction in eGFR with increasing age was observed, reflecting the physiological decline in nephron mass and renal perfusion. The program also provided education on kidney-protective practices, including optimal blood pressure control, diabetes management, adequate hydration, and avoidance of nephrotoxic agents. This intervention improved participants’ understanding of CKD risk factors and the importance of regular screening. In conclusion, serum creatinine and eGFR evaluation offer simple, accurate, and practical tools for early CKD detection, supporting promotive–preventive strategies to slow disease progression and enhance quality of life in at-risk populations.

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

Early detection of growth and development is a crucial step in identifying potential developmental delays in early childhood. This activity aimed to increase parents' and teachers' knowledge of child developmental stages and to conduct developmental screening using the Pre-Screening Development Questionnaire (KPSP) for students of Kindergarten X Panyabungan. The methods used included education through lectures and discussions, followed by KPSP screening on 20 children with an average age of five. The assessment covered gross motor skills, fine motor skills, language, and social independence. The screening results showed that all children (100%) were in the "age-appropriate" category, with no "questionable" or "deviation" categories found. 85% of participants stated that this activity was beneficial and increased their knowledge of child development. This activity demonstrated that the KPSP is an effective early detection tool in the school environment and can strengthen collaboration between teachers and parents. It is recommended that schools conduct regular developmental monitoring and provide ongoing stimulation to support optimal child development.

Early detection of growth and development is a crucial step in identifying potential developmental delays in early childhood. This activity aimed to increase parents' and teachers' knowledge of child developmental stages and to conduct developmental screening using the Pre-Screening Development Questionnaire (KPSP) for students of Kindergarten X Panyabungan. The methods used included education through lectures and discussions, followed by KPSP screening on 20 children with an average age of five. The assessment covered gross motor skills, fine motor skills, language, and social independence. The screening results showed that all children (100%) were in the "age-appropriate" category, with no "questionable" or "deviation" categories found. 85% of participants stated that this activity was beneficial and increased their knowledge of child development. This activity demonstrated that the KPSP is an effective early detection tool in the school environment and can strengthen collaboration between teachers and parents. It is recommended that schools conduct regular developmental monitoring and provide ongoing stimulation to support optimal child development.

Latar Belakang: Hipertensi merupakan salah satu masalah kesehatan utama yang berdampak pada meningkatnya angka kesakitan dan kematian, terutama pada kelompok lansia. Kurangnya kesadaran masyarakat terhadap deteksi dini dan gaya hidup sehat menjadi faktor yang memperburuk kondisi ini. Tujuan: Kegiatan pengabdian masyarakat ini bertujuan untuk memberdayakan masyarakat melalui peningkatan pengetahuan, sikap, dan perilaku dalam pengendalian tekanan darah melalui Program SEHATI (Sehat Bersama Hipertensi Terkendali). Metode: Kegiatan dilaksanakan di Posbindu lansia dengan melibatkan 45 peserta. Metode kegiatan meliputi skrining tekanan darah dan status kesehatan, edukasi tentang pencegahan dan pengendalian hipertensi, serta pelatihan senam hipertensi. Evaluasi dilakukan melalui pre dan post-test pengetahuan serta observasi partisipasi senam. Hasil: Terdapat peningkatan pengetahuan peserta tentang hipertensi sebesar 35%, partisipasi aktif dalam senam mencapai 90%, dan sebagian besar peserta menunjukkan penurunan tekanan darah setelah mengikuti kegiatan. Kesimpulan: Program SEHATI efektif meningkatkan pengetahuan, kesadaran, dan perilaku sehat masyarakat dalam pengendalian tekanan darah, serta dapat menjadi model pemberdayaan masyarakat berbasis promotif dan preventif di komunitas lansia.

Deteksi awal gagal jantung sangat krusial untuk mengurangi angka sakit dan kematian. Metode machine learning, khususnya klasifikasi yang berbasis decision tree, menunjukkan potensi untuk mendukung keputusan medis dengan memisahkan pasien berisiko menggunakan variabel klinis yang biasa. Tujuan penelitian ini adalah untuk merancang dan menilai model Decision Tree dalam mengklasifikasikan pasien dengan gagal jantung menggunakan data klinis yang bersifat publik. Langkah-langkah dalam penelitian mencakup preprocessing (mengatasi nilai yang hilang, normalisasi, dan pemilihan fitur), pelatihan dengan stratified k-fold cross-validation, serta penilaian menggunakan metrik accuracy, precision, recall, F1-score, dan AUC. Hasil dari eksperimen menunjukkan bahwa Decision Tree yang dioptimalkan memberikan performa yang kompetitif serta keunggulan dalam interpretabilitas melalui aturan keputusan yang jelas. Sumbangan penelitian ini meliputi (1) pipeline yang dapat direproduksi untuk klasifikasi gagal jantung (heart failure), (2) kumpulan aturan yang mendukung skrining klinis heuristik, dan (3) perbandingan empiris terhadap metode machine learning lainnya. Temuan ini menunjukkan bahwa Decision Tree dapat menjadi alat skrining awal yang efektif, terutama di tempat dengan keterbatasan sumber daya.

The Stimulation, Early Detection, and Early Intervention of Child Growth and Development (SDIDTK) Program was initiated by the Indonesian government as a national strategy to prevent and manage growth and developmental problems from an early age. Despite its importance, implementation at the community level continues to face several challenges, including a shortage of trained personnel, limited availability of standardized developmental assessment tools, and insufficient collaboration among the education, health, and family sectors. Strengthening the implementation of this program is therefore crucial to ensure optimal child development outcomes. This community service activity aimed to enhance the implementation of the program among the kindergarten partners of the Diploma III Midwifery Study Program at Poltekkes Kemenkes Maluku. The activity was conducted in four kindergartens and targeted preschool children aged 3 to 6 years. The service team carried out anthropometric measurements and developmental screenings using the Kuesioner Pra Skrining Perkembangan (KPSP) instrument among all participating children. A total of 79 students participated in the growth and developmental screening. The results indicated that, while the majority of children exhibited normal growth and development, a small proportion showed nutritional and developmental concerns that required further attention. The results were shared with partner institutions to inform the development of appropriate interventions. Strengthening collaboration between schools, community health centers, and families is essential to sustain early detection and intervention efforts. This community service initiative contributed to strengthening the SDIDTK Program at the local level and supported kindergartens and health centers in optimizing the growth and development of preschool-aged children. Continuous capacity building for educators and health workers, along with improved intersectoral collaboration, is recommended to enhance the program’s effectiveness.