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

Meningitis is a serious infectious disease that can be prevented through vaccination; however, the vaccination process often causes anxiety in patients, especially during the pre-procedure phase. Uncontrolled anxiety can affect patient readiness and comfort. Therapeutic communication by nurses is one intervention that has the potential to reduce this level of anxiety. This study aims to determine the relationship between nurses’ therapeutic communication and the anxiety levels of patients prior to meningitis vaccination at Pambalah Batung Amuntai Regional General Hospital. This study used a quantitative analytic design with a cross-sectional approach. The sample consisted of 107 respondents selected using a convenience sampling technique. Data on therapeutic communication were collected using an observation sheet, while anxiety levels were measured using the DASS questionnaire (anxiety subscale). Data analysis was conducted using univariate and bivariate methods with the Chi-Square test at a significance level of 0.05. The results showed that most therapeutic communication was in the good category, and patient anxiety levels were predominantly in the normal category. Statistical test results indicated a significant relationship between nurses’ therapeutic communication and patient anxiety levels (p = 0.000 < 0.05). The better the therapeutic communication provided, the lower the patient’s anxiety level. In conclusion, nurses’ therapeutic communication plays an important role in reducing patient anxiety prior to meningitis vaccination and needs to be optimized in nursing practice.

Immunization is a vital public health strategy to prevent infectious diseases and reduce morbidity and mortality. In Indonesia, the Pentabio vaccine protects against diphtheria, pertussis, tetanus, hepatitis B, and Haemophilus influenzae type b. Despite its effectiveness, post-immunization reactions such as fever and local pain are common, potentially affecting caregiver perceptions and immunization adherence. A descriptive observational study with a cross-sectional design was conducted among infants receiving Pentabio immunization at Posyandu in the UPT Timpah Community Health Center, Central Kalimantan. Data were collected through structured observation and caregiver interviews for infants aged 2–11 months. Fever (≥37.5°C) and local pain (tenderness, redness, or swelling) were assessed. Of the 30 infants, 40% were aged 2–3 months, 33.33% were 4–6 months, and 26.67% were 7–11 months, with slightly more males (53.33%). Post-immunization fever occurred in 60%, and local pain in 70%, with both reactions being mild, transient, and appearing within 24–48 hours. These findings highlight the commonality of mild adverse events, especially in early infancy, and underscore the need for clear caregiver education to maintain confidence in immunization services and ensure adherence to vaccination schedules.

Childhood tuberculosis remains a significant public health challenge, particularly in developing countries where malnutrition and limited diagnostic resources increase disease severity and mortality. Children are at high risk of rapid progression from latent infection to active disease due to immature immune systems. We report a case of a 1-year-old girl presenting with cough, fever, shortness of breath, and poor growth. Chest radiograph showed consolidation and infiltrates in the right paracardial area consistent with pulmonary tuberculosis. The patient was treated with first-line anti-tuberculosis drugs, including rifampicin and pyrazinamide, along with nutritional support, resulting in significant clinical improvement and discharge on day eight. This case emphasizes the importance of early recognition and management of tuberculosis in young children with risk factors such as malnutrition and incomplete immunization. Preventive strategies such as BCG vaccination, contact screening, family education, and access to tuberculosis preventive therapy are essential to reduce morbidity and mortality in childhood TB.

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.

Background: Compliance with routine infant immunization is essential for the success of vaccination programs and the prevention of vaccine-preventable diseases. However, adherence to immunization schedules remains suboptimal due to limited parental knowledge, concerns about vaccine safety, and the limited effectiveness of conventional health education. Audio-visual media offer a promising solution by delivering information in a more engaging, clear, and consistent manner. Objective: This study aimed to evaluate the effectiveness of audio-visual educational media in improving adherence to basic immunization among infants in the service area of the Rum Balibunga Community Health Center. Methods: A quasi-experimental design with a one-group pretest-posttest approach was used. The sample included 40 mothers with infants aged 0-12 months selected through purposive sampling. Participants received an educational video on basic immunization. Adherence was assessed before and after the intervention based on completeness and timeliness according to the national schedule. Data were analyzed using univariate and bivariate methods, with the McNemar test for paired categorical data. Results: There was a significant improvement in immunization adherence after the intervention. Statistical analysis confirmed a meaningful difference before and after exposure, indicating the effectiveness of audio-visual media. Conclusion: Audio-visual education is an effective strategy to improve infant immunization adherence and can be widely applied in primary healthcare settings.

Beef demand in Indonesia continues to increase, particularly during religious holidays. Bali cattle, one of the main sources of beef, face a serious threat from Jembrana disease, a viral infection that compromises the immune system and causes significant economic losses. This study aimed to determine the correlation between spleen weight, body temperature, and cycle threshold (Ct) values in Bali cattle following Jembrana virus inoculation. A correlational method was applied to eight female Bali cattle injected with Jembrana virus inoculum. Physiological changes in body temperature were monitored, followed by necropsy to assess spleen weight. In addition, Real-Time Polymerase Chain Reaction (RT-PCR) was performed before and after inoculation to detect viral presence and determine Ct values. Data were analyzed using SPSS with Pearson correlation tests. The results revealed a very strong positive correlation between spleen weight and body temperature, while a very strong negative correlation was observed between spleen weight and Ct values. These findings indicate that Jembrana virus inoculation leads to increased body temperature and splenic enlargement in Bali cattle, accompanied by a decrease in Ct values, reflecting higher viral loads. Therefore, the administration of antipyretics, anti-inflammatory drugs, analgesics, vitamins, and antibiotics prior to vaccination is recommended to reduce the risk of hyperthermia, splenic swelling, decreased Ct values, and secondary infections.

Equitable vaccine distribution is a global issue that has received increasing attention, especially since the increasing need for vaccines in the face of modern pandemics. This study aims to analyze the inequality in vaccine distribution and the factors influencing vaccine hesitancy through a descriptive qualitative approach, utilizing literature studies and supporting data in the form of graphs. The analysis results show that high-income countries have significantly greater access to vaccines than middle- and low-income countries, creating inequalities that impact public health protection. Furthermore, levels of vaccine hesitancy were found to vary across social groups, with adolescents being the group with the highest rate of rejection due to the influence of misinformation and low trust in health institutions. These findings confirm that the success of a vaccination program is determined not only by the availability of equitable distribution but also by public acceptance, which is influenced by social, psychological, and ethical factors. Overall, this study emphasizes the importance of applying bioethical principles such as justice, beneficence, and autonomy in formulating effective and inclusive vaccination policies.

Background: Sexually Transmitted Infections (STIs) represent a global public health challenge. The increasing number of Sexually Transmitted Infection (STI) cases is a serious concern worldwide. A lack of education or minimal knowledge, along with risky behavior, contributes significantly to the high STI rates, particularly among the young age group. Purposes: The objective of this study is to conduct a comprehensive analysis of the major types of Sexually Transmitted Infections (STIs)—namely Gonorrhea, Hepatitis B, HIV/AIDS, Syphilis, and HPV—by identifying their risk factors and determining the most effective prevention strategies. Method:The researchers employed a literature review method. The data search process was conducted systematically on Google Scholar, limiting sources only to articles available in full text and having open access. Results: The literature review concludes that the factors of knowledge, attitude, behavior, and age significantly influence an individual's risk of contracting Sexually Transmitted Infections (STIs). Therefore, prevention efforts must be carried out comprehensively, encompassing promotive (awareness enhancement), preventive (prevention), curative (treatment), and rehabilitative (recovery) activities. Practically, this prevention must include sexual health education, adoption of safe sexual behavior, implementation of routine health checks (screening), and vaccination (specifically for Hepatitis B and HPV). Conclusion: Overall, controlling the spread of STIs requires active and collaborative roles from all parties—including the government, health workers, and the community. The main key to suppressing the spread and burden of STI diseases in the community is through improving appropriate sexual health education, improving access to health services, and periodic health screening.  

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.

Basic immunization helps to prevent infectious diseases in toddlers. It increases immunity and reduces morbidity and mortality. However, full basic immunization coverage is low in several areas, including the Darul Imarah Health Center, Aceh Besar. Family support is considered one of the influencing factors. This support can be emotional, informational, instrumental, or appraisal. The purpose of this study was to determine the relationship between family support and the completeness of basic vaccinations for toddlers in the service area of ​​the Darul Imarah Community Health Center in Aceh Besar. This study used a quantitative cross-sectional design. Using a probability random sampling method, the sample size was 90 respondents out of 817 respondents in the population. The research was conducted from May 5th to 24th, 2025. The study used both bivariate and univariate analyses. The data collection was analyzed using the Chi-Square test. The results showed a relationship between family support and toddler immunization completion, with a P-value of 0.003 (p<0.05). The conclusion indicates a relationship between family support and immunization completion. Therefore, this research provides insight for the family's role in improving basic immunization coverage for toddlers. The findings may help the Darul Imarah Health Center and healthcare workers design strategies for socialization and family support to reach complete immunization targets.

Diarrhea is a leading cause of morbidity and mortality in children under five, particularly in developing countries like Indonesia. To reduce the incidence of diarrhea, the government has implemented a policy to prevent it by administering rotavirus vaccination. To determine the relationship between rotavirus vaccination and the incidence of diarrhea in infants in Sadai sub-district, the working area of UPT Puskesmas Sei Panas, Batam City in 2024. This study was a quantitative study with a cross-sectional approach to 72 infants who received rotavirus vaccination.The implementation time starts on October 23 to November 06, 2024. Sampling using cluster random sampling technique. Measurement tools using questionnaires and observation sheets. Analysis of the data used is the chi square test. The study obtained rotavirus vaccination as many as 40 infants (55.6%), the incidence of moderate diarrhea as many as 37 infants (51.4%). Chi-Square test results showed the value of p value = 2.167. Because of the value (p value 2.167 > 0.05), this relationship is not statistically significant. There is no significant relationship between rotavirus vaccination and the incidence of diarrhea in infants in Sadai Village working area of UPT Puskesmas Sei Panas Batam City in 2024.

Complete basic immunization for infants is an important effort in preventing infectious diseases and improving public health. However, certain regions still have subpar vaccination rates, which may be due to parents' ignorance and attitudes. Children who do not receive all recommended vaccinations are more vulnerable to illness and, worse, may die from it. This study was conducted at the Jikohay Community Health Center in the West Obi District to examine the impact IEC on mothers' attitudes and knowledge on the provision of full basic immunizations for newborns. Maternal and child health books (KIA) and a questionnaire approach were used in this qualitative study. The purpose of this study is to ascertain how IEC affects mothers' knowledge and attitudes on giving their babies the recommended basic vaccinations at the Jikohay Health Center in the West Obi District. There were 60 individuals in the population and 40 responders in the sample. Purposive sampling was used for the sample process. The Wilcoxon test was utilized for data analysis. According to the study's findings, 20 respondents had good attitudes, 20 had sufficient attitudes, and 29 had good knowledge, 10 had sufficient knowledge, and 1 had insufficient knowledge after receiving counseling on parental attitudes and knowledge in providing full basic immunizations to infants. At the Jikohay Health Center in the West Obi District, the results of the statistical test with a p-value of 0.000 indicated that IEC had an impact on mothers' attitudes and knowledge toward giving their infants all of the recommended basic vaccinations.

The COVID-19 pandemic has accelerated the vaccination program in Indonesia as an effort to mitigate the health crisis. However, this emergency has also opened up opportunities for the widespread circulation of illegal and counterfeit vaccines, threatening public safety. This article aims to analyze the legal implications of this phenomenon through a normative-empirical approach using case studies. Three main cases are analyzed: the 2016 national counterfeit vaccine case, the 2021 illegal COVID-19 vaccine sales case in North Sumatra, and the falsification of COVID-19 vaccine certificates that occurred between 2021 and 2022. The analysis focuses on identifying legal loopholes, weaknesses in the oversight system, and their consequences for human rights protection and the integrity of public health programs. The results show fragmented oversight of vaccine distribution, weak transparency in the vaccine supply chain, and legal sanctions that have not provided a significant deterrent effect on perpetrators of health crimes. These conditions not only threaten individual safety but also undermine public trust in the national vaccination program. Inconsistent law enforcement and weak inter-agency coordination have exacerbated the situation. Therefore, efforts are needed to strengthen stricter regulations, increase synergy between supervisory and law enforcement agencies, and secure an integrated and transparent health information system. These measures are expected to ensure the security of vaccine distribution and enhance the accountability of the vaccination program in Indonesia, thus optimally protecting the public's right to health.

Background: The Ministry of Health has created the Maternal and Child Health (MCH) Book to document essential health services for mothers and children, including vaccinations, nutrition, and developmental milestones, from pregnancy until the child is five years old. However, many pregnant women remain unaware of the MCH book (KIA book) due to a lack of interest in reading about it. This study aimed to explore the relationship between pregnant women's reading interests and their knowledge with the MCH book at PMB Ni Ketut Sunarthi, SST. Method: Utilizing a cross-sectional and correlational analytical approach, the study involved a sample of 40 participants selected through complete sampling. Data analysis was conducted using the Spearman rank test. Results: Results showed that 57.5% of respondents (23 individuals) expressed a strong interest in reading the MCH book and were mostly knowledgeable about it (50%). Among those with moderate interest (8 individuals), 80% had adequate knowledge, while 71.4% of the 5 individuals with low interest had insufficient knowledge. Conclusion: The study revealed a significant correlation, with a p-value of 0.001, indicating that pregnant women's reading interest is linked to their knowledge of KIA literature at PMB Ni Ketut Sunarthi, SST in 2024. Pregnant women are encouraged to engage with pregnancy literature to enhance their understanding.

Infant anxiety following routine immunizations, such as DPT vaccination, can lead to distress, prolonged crying, and negative behavioral responses, affecting both the child and caregivers. Non-pharmacological interventions, including aromatherapy, have been explored to alleviate such anxiety. This study aimed to examine the effect of lavender aromatherapy inhalation on anxiety levels in infants after DPT immunization at Puskesmas Rum Balibunga Tidore. A quasi-experimental design with pre-test and post-test measurements was employed, involving 30 infants aged 2–6 months. Anxiety was assessed using a validated observational scale, focusing on behavioral indicators such as crying duration, facial expressions, and body movements. Lavender essential oil was administered via inhalation for five minutes immediately after immunization. Data were analyzed using paired t-tests to evaluate changes in anxiety scores before and after the intervention. The results demonstrated a significant reduction in infant anxiety following lavender inhalation, with mean scores decreasing from 14.5 ± 2.8 to 9.3 ± 2.1 (p < 0.001). Behavioral indicators, including the frequency and duration of crying, were also markedly reduced, supporting the effectiveness of the intervention. These findings align with prior research indicating that lavender essential oil can modulate the autonomic nervous system, promoting relaxation and reducing stress responses. In conclusion, inhalation of lavender aromatherapy effectively decreases post-immunization anxiety in infants. Incorporating this intervention into routine vaccination procedures at community health centers offers a safe, non-invasive, and culturally acceptable method to improve infant comfort and enhance the overall immunization experience.

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%).

The high risk of zoonotic disease transmission in cattle farming environments necessitates effective education to enhance workers' understanding and hygienic behaviors. This study aims to improve workers' awareness and hygienic practices in preventing zoonotic diseases through an outreach program at Manonjaya Farm. The method used is a case study with a qualitative approach, involving semi-structured interviews and direct observation. The educational activities were conducted interactively using posters, lectures, and demonstrations of the six-step Handwashing with Soap (CTPS) technique. The results indicate an increase in workers' understanding of zoonotic risks, particularly bovine tuberculosis, as well as the importance of maintaining barn cleanliness, regular vaccinations, and the use of personal protective equipment. Furthermore, the CTPS practice successfully enhanced workers’ skills and consistency in implementing hygienic behaviors. Supporting strategies such as the installation of educational posters, distribution of vaccination logbooks, and provision of handwashing soap contributed to the sustainability of behavioral changes. These findings affirm the effectiveness of interactive lectures and demonstrations in improving knowledge and preventive measures against zoonotic diseases within farming communities, aligning with the One Health approach.

This study aims to analyze the relationship between the level of knowledge (information about vaccines, benefits, side effects) and attitude (belief, concern) towards COVID-19 vaccination with the level of vaccination participation (vaccinated, not vaccinated) in adults (aged ≥ 18 years) in Surakarta City. The survey method with an online questionnaire was used. Keywords: COVID-19 Vaccination, Knowledge, Attitude, Vaccination Participation, Public Health