Background:Puskesmas in the JKN/BPJS system have a major role in health services. If the puskesmas services provided are good, then JKN participants will use health services more at the puskesmas. Puskesmas Kumun is one of the puskesmas that has a wide working area and serves 9 villages. The number of BPJS participants in puskesmas has reached 61%, but the use of national health insurance shows a less percentage. The purpose of this study was to determine the factors associated with the use of national health insurance at the Kumun Health Center.
Method: This type of research is a quantitative study using a cross sectional approach, with a sample of 100 samples. This research was conducted in the district of Kumun Debai. Sampling with accidental sampling technique. Data obtained by filling out questionnaires by respondents. Data analysis was performed using univariate and bivariate (chi-square) tests.
Result:Based on the statistical test in this study, it showed that the factors related to the utilization of the national health insurance were knowledge (p=0.019), education (p=0.000), occupation (p=0.013), income (0.011), and health facilities. And there is no relationship between attitude (p = 0.069), and trust (p = 0.054) with the use of the national health insurance.
Conclusion: There is a relationship between the variables of knowledge, education, occupation, income, and health facilities with the use of national health insurance at the Kumun Community Health Center in Sungai Penuh City.

Losses experienced by BPJS Health due to payment of contributions that have been stopped for participants who have used maternity services of more than 200 billion in a span of 2 years. It was recorded that 64.7% of mothers who were about to give birth registered as participants a month before giving birth and then quit (43%) or did not comply with the payment after delivery. The largest percentage comes from independent participants or non-wage recipients (PBPU). In Jambi Province, non-compliance in paying BPJS Health contributions is the highest in Jambi City. There were 77,489 participants in arrears in 2021 which resulted in a loss of 60.1 billion. Non-compliance in paying dues comes from multiple factors. The purpose of this study is to analyze the factors causing the non-compliance of independent participants in paying BPJS Health contributions after utilizing childbirth services in Jambi City. A quantitative study approach with a cross-sectional design conducted in Jambi City in 2022. There were 96 respondents who were selected based on the accidental sampling technique. The study instrument was a questionnaire. Quantitative data processing through the stages of editing, coding, entry and cleaning with SPSS. Data analysis consisted of univariate analysis and bivariate analysis using chi-square test. The results of the study found that as many as 33.3% of independent participants did not comply in paying BPJS Health contributions after using childbirth services. There is a significant relationship between the number of family members (p = 0.001), knowledge (0.000), perception of illness (p = 0.001), clinical assessment (p = 0.000), and willingness to pay (WTP) with the non-compliance of independent participants in paying BPJS Health contributions. after the use of maternity services. It is recommended for BPJS Health to consider the application of the waiting period method for participants who will take advantage of maternity services. As well as increasing promotive activities for the Jambi City Government in educating and increasing public awareness about the importance of health insurance in protecting household financing.

Introduction: Universal Health Coverage (UHC) is a health financing system that ensures every individual has equitable access, quality and financially affordable health services. BPJS as the organizing body has made efforts to encourage the achievement of UHC but in it’s implementation there are many obstacles.Method: This research is an analytical qualitative research. Result: Public knowledge about health insurance is still low, the availability of health facilities and coverage of health services are in accordance with standards.Discussion: There are still many people who do not know the importance of being a participant in health insurance.

Background : Muscle pain or it can also be called myalgia is one of many disorders and diseases in the body. In general, myalgia is caused by misuse of muscles or muscles that are too tense. Several nursing action therapies for joint pain management using non-pharmacological therapy, one of which is Cupping Therapy, Research Objectives: The results of the application of the wet cupping technique to reduce the pain scale in the shoulder with Trapezius Myalgia in the work area of the Sidorejo Health Center 2022., Research Methods: The Type of This research is descriptive by using the case method. The study was conducted in April 2022. The subjects in this case study were two clients with a diagnosis of Trapezius Myalgia who met the inclusion and exclusion criteria. Research Results: After cupping therapy was performed for 1 time in 2 weeks, the results showed that the pain scale in the subjects decreased in Subject I from pain scale 5 (moderate pain) to pain scale 2 (mild pain) and in subject II there was a decrease in pain scale from pain scale 6 (moderate pain) to pain scale 3 (mild pain). Conclusion: The implementation of cupping therapy can reduce the pain scale in patients with Trapezius myalgia according to the subject's condition and lifestyle factors in each subject in the working area of the Sidorejo Health Center, Lubuklinggau City.

Primary dysmenorrhea is menstrual pain that is found without obvious abnormalities of the genital organs. Primary dysmenorrhea often occurs in adolescent girls aged 10-14 years (early adolescence). Primary dysmenorrhea refers to pain without obvious pathological pelvic disease or menstrual pain with normal pelvic anatomy, usually beginning in adolescence after their ovulatory cycle has established. The purpose of this study was to determine the relationship between age of menarche, duration of menstruation and exercise habits in adolescent girls in Sitinjau Laut District.
This research is a quantitative research with a cross sectional design. Data collection was carried out in March-April 2021. The research population was... Young Women with a research sample of 198 young women. Sampling was done by using proportional random sampling technique. This study consisted of the independent variable "age of menarche, duration of menstruation and exercise habits" and the dependent variable "primary dysmenorrhea". Data analysis using Chi-Square test.
The incidence of primary dysmenorrhea in adolescent girls is 74.2%. Factors related to the incidence of primary dysmenorrhea in adolescent girls were age at menarche (P=0.000; 1.870; 95% CI 1.371-2.552) and length of menstruation (P=0.001; 0.720; 95% CI 0.635-0.817). And there is no relationship between exercise habits (P=0.720; 1.184 95% CI 1.012-1.835).
There is a relationship between the age of menarche with the incidence of primary dysmenorrhea and the length of menstruation in adolescent girls in the District of Sitinjau Laut.

Background : According to WHO, every day in 2019 around 810 women died, by the end of the year 295,000 people from 94% of them were in developing countries. The direct cause of maternal death by 90% are complications that occur during delivery and after delivery. Chronic Energy Deficiency is a condition caused by an imbalance in nutritional intake between energy and protein, so that the nutrients needed by the body are not fulfilled. Based on the results of the Nutrition Status Monitoring in 2017, it was found that the percentage of pregnant women with chronic energy deficiency in Indonesia was 14.8%. The prevalence of CED in pregnant women in Indonesia based on Riskesdas data in 2018 is 17.3% and based on the Indonesian Health profile that the incidence of CED in pregnant women in 2019 is 17.9%
Objective : Knowing the relationship between age and the incidence of chronic energy deficiency (KEK) in pregnant women
Methods : Analytical with cross sectional approach. The sample in this study were all maternity mothers registered in the register from March 2021 to May 2022 as many as 224 people (total sampling).
Results : The distribution of the frequency of CED incidence in pregnant women is 366.6%. Age of pregnant women mostly aged 20-35 years 69.2%, LBW 3.6% and 3.1% bleeding. There is a significant relationship between age and the incidence of CED in pregnant women with a p value of 0.000.
Conclusions and Suggestions: There is a significant relationship between age and the incidence of CED in pregnant women. It is expected that health workers, especially midwives, provide counseling to pregnant women about nutritional needs during pregnancy.

Background: Performance is a function of encouragement and expertise for a person in carrying out an obligation and work in order to have a certain degree of ability and ability. Jambi Health Department report in 2020 it was known that of the 12 types of health services in the Jambi City Health Office, there are 8 health service performances that have decreased. This research aims to analyzed the performance of employees at the Jambi City Health Office.
 
Methods: This type of research was a quantitative research with a cross sectional research design. Total population in this research were 140 respondents with a total sample of 82 respondents. Data collected was carried out in January 2022 to March 2022. Data collected used questionnaires that had been tested for validity and reliability. Data analyzed with SPSS with multiple linear regression test.
 
Results: Based on the results research, the final model found that employee performance = 1.709 - 0.062 age + 0,098 vision and mission + 0.355 measure of success + 0.121 satisfaction with insentive + 0.262 satisfaction with superiors + 0.109 satisfaction with colleagues. The most influential factor on employee performance was the measure of success where if you increase it 100% (1 point) then the performance will increase by 31.7%.
 
Conclusion: The most influential factor on employee performance was measure of success where if  increased by 100% (1 point) then the performance will increase by 31.7%. It is hope that employees who are expected to use time effectively, know the results that each program wants, have supporting factors in achieving success, pay attention to employee incentives, superiors must be firm in giving warnings to employees who violate, and employees increase interaction with co-workers achieved.

Pregnant women are a group that is vulnerable to Covid-19 due to physiological changes that result in changes in response to Covid-19 infection. Pregnant women with Covid-19 are at risk for preeclampsia, stillbirth, premature birth, and maternal death. The magnitude of the impact, it is necessary to have a Covid-19 vaccine to reduce the incidence and reduce the severity caused by Covid-19, especially in pregnant women. This study aims to determine the relationship between knowledge, perception, and disease history with the willingness of pregnant women to take the Covid-19 vaccine. This research is a descriptive analytic with a cross sectional study design. The population is all pregnant women in the second and third trimesters who are in the Work Area of ​​the Tomalehu Health Center, West Seram Regency, as many as 41 respondents. The sample is pregnant women in the second and third trimesters who are in the Working Area of ​​the Tomalehu Health Center as many as 37 respondents with purposive sampling. Processing and analysis using Chi Square test. The results showed that there was a relationship between perception (p = 0.000) and the willingness of pregnant women to vaccinate against Covid-19. Researchers suggest that health workers and the government should increase the socialization of giving vaccinations to pregnant women. vaccination coverage can be increased

Family Planning Program (KB) using contraceptives is an effort to suppress the rate of population growth. In 2020, the proportion of LACMs (13.4%) in the working area of ​​the Depati Tujuh Health Center is smaller than the proportion of non-LACMs (86.6%) meaning that this achievement has not met the target of the 2020-2024 Strategic Plan (25.11%). The purpose of the research  was to determine the determinants of the use of the Long-Acting Contraceptive Methods (LACMs) on family planning acceptors in the working area of ​​the Depati Tujuh Koto Tuo Health Center, Kerinci Regency. This type of research is quantitative research with a cross-sectional research  design and an analytical survey research method. The number of research samples was 117 respondents who were taken using the proportional random sampling technique. Data collection in April-May 2021. The dependent variable is the use of LACMs while the independent variables are work status, knowledge, attitudes, husband's support, and the role of health workers. Data analysis using chi-square and cox regression. The results showed that the proportion of LACMs was 17.9%. There was a relationship between working status (PR=1.33; 95% CI=1.01-1.75), knowledge (PR=1.23; 95% CI=1.06-1.42), husband's support (PR= 1.30; 95% CI=1.10-1.53), and the role of health workers (PR=1.40; 95% CI=1.17-1.67) with the use of LACMs. There was no relationship between attitude (PR=1.15; 95% CI=0.98-1.36) with the use of LACMs. The dominant factor in the use of LACMs in the working area of ​​the Depati Tujuh Health Center in 2021 is the role of health workers (RR=6.34; 95% CI=1.45-27.71).

Waste that cannot be recycled and processed properly will be very dangerous for human health and the environment. Based on data from the Environmental Service of Jambi City, garbage in Jambi City reached a total of 465,693,805 kg/day, and the largest waste generation data was in Alam Barajo District where the waste generated was 75,409,004 kg/day. This research is an observational study that uses a quantitative approach with a cross sectional method. The population of Alam Barajo sub-district is 30,786 families. The sampling technique is a disproportionate stratified random sampling technique. Bivariate analysis using thetest Chi-Square, the relationship between the independent variable and the dependent variable, namely knowledge (p = 0.000), attitude (p = 0.122), support from community leaders (p = 0.607), support from health workers (p = 0.227) with waste management household. There is a relationship between knowledge and household waste management in Alam Barajo sub-district and there is no relationship between attitudes, support from community leaders, support from health workers and household waste management.