Journal Title:Jurnal Pengabdian Ilmu Kesehatan (JPIKes) Initials:JPIKes Frequency:Maret, Juli, dan November. Print ISSN: 2827-9212 Online ISSN:2827-9204 Editor in Chief: Aufa Rizka Azzumi, S.E.,M.A DOI: 10.55606 Publisher: Lembaga Pengembangan Kinerja Dosen Jurnal Pengabdian Ilmu Kesehatan (JPIKes): ISSN: 2827-9212(cetak), ISSN: 2827-9204 (Online) menerima naskah publikasi dari hasil pengabdian kepada masyarakat yang belum pernah dipublikasikan di tempat lain dalam bentuk cetakan maupun digital (e-journal).Jurnal ini terakreditasi SINTA 4 (Surat Keputusan Direktur Jenderal Pendidikan Tinggi, Riset, dan Teknologi Nomor 0173/C3/DT.05.00/2025 tanggal 21 Maret 2025 tentang Peringkat Akreditasi Jurnal Ilmiah Periode I Tahun 2025) dimulai dari Volume 2 Nomor 3 Tahun 2022 sampai Volume 7 Nomor 2 Tahun 2027. Jurnal Pengabdian Ilmu Kesehatan (JPIKes) mencakup pengabdian kepada masyarakat di bidang ilmu kesehatan. Kami menyediakan akses terbuka (open access) bagi para akademisi dan praktisi serta mahasiswa kesehatan yang ingin mendapatkan artikel dalam Jurnal Pengabdian Ilmu Kesehatan (JPIKes). Indexed by: Journal Sponsors and Partners :
Penanganan Stunting Melalui Program Pemberdayaan Masyarakat
Stunting is a public health issue that is a top priority in Indonesia's national development. The objective of this community service program is to implement a community empowerment program to address stunting. Implementing a community empowerment program to address stunting through a social and economic approach provides significant benefits for various parties, both in the short and long term, as supported by various empirical studies and theoretical frameworks for sustainable development. The approaches used in this service include community-based participatory action, an adult learning approach, a train-the-trainer model, and a cascade training method. The implementation stages of the activity began with coordination with stakeholders, baseline surveys and pre-assessments, development of training materials, provision of training materials, and finally, evaluation. This community service was attended by 33 participants from community companion cadres in Tanah Grogot District, Paser Regency under the working area of the Department of Population Control, Family Planning, Women's Empowerment and Child Protection (PPKBPPPA) of Paser Regency. The results of the community service showed that the socialization activities were effective in increasing the knowledge of stunting companion cadres about stunting and their role in stunting prevention, with an average increase in score of 52.6% (p <0.001). The distribution of knowledge experienced a positive shift from the majority in the poor category (54.5%) to the majority in the good category (69.7%). The basic knowledge material on stunting experienced the highest increase (58.1%), followed by the material on the role of cadres (46.7%). The active learning method used proved effective in increasing the understanding of cadres.
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Pengembangan Media Edukasi Digital : Website Promosi Kesehatan sebagai Strategi Pencegahan Stunting pada Pengguna (Siswa) di Kabupaten Sumbawa
Stunting remains a major public health concern in Indonesia, including in Sumbawa Regency. Preventive efforts must be carried out upstream, one of which is through nutrition and health education for adolescents as future parents. This community service activity aimed to develop a digital-based educational media in the form of the RAMPES (Remaja Peduli Stunting/Adolescents Care for Stunting) website as an interactive learning tool to improve adolescents’ literacy in nutrition and health. The method applied combined participatory, educational, and co-creation approaches, including problem identification, digital content development, online and offline dissemination, and evaluation through pre- and post-tests. The product developed was a website containing digital modules, educational videos, presentation materials, and interactive exercises designed to match adolescent characteristics. The website was disseminated online via Zoom with the participation of 233 students from 47 senior high schools/vocational schools (SMA/SMK), and offline at five pilot schools: SMA Negeri 1 Sumbawa, SMA Negeri 2 Sumbawa, SMA Negeri 3 Sumbawa, SMK Negeri 1 Sumbawa, and SMK Islam Farmasi Sumbawa. Evaluation results indicated an improvement in knowledge, with the “poor” category decreasing from 21.6% to 16.2% and the “fair” category increasing from 40.5% to 45.9%. A more significant improvement was observed in attitudes, with the “good” category rising from 23.4% to 63.1% and the “poor” category decreasing sharply from 25.2% to 3.6%. These findings demonstrate that website-based education is effective in enhancing adolescent nutrition literacy and fostering positive attitudes toward stunting prevention. This initiative also supports the Bakti Stunting Program implemented by KCD DIKBUD Sumbawa and serves as a strategic innovation in the digital transformation of education and health sectors.
Pelatihan serta Pendampingan Penerapan Teknologi Aplikasi keluarga Cara’de bagi Kader Posyandu Anggrek di Desa Je’nemadinging Kabupaten Gowa
This community service program was held with the primary objective of improving the understanding and skills of Posyandu Anggrek cadres in conducting technology-based stunting surveys using the Cara'de application. Stunting is a chronic nutritional problem that impacts child growth and development and requires targeted intervention. Therefore, Posyandu cadres, as the frontline of health services, play a crucial role in collecting accurate nutritional data. The training was designed in eight face-to-face meetings and facilitated by five people, consisting of three lecturers and two students from the Makassar Health Sciences College, so that the knowledge transfer process was more structured. The series of activities included focus group discussions (FGDs) to explore initial understanding, technical training discussing the application's features, hands-on practice so that cadres could practice using Cara'de, and intensive mentoring to ensure all participants could optimally master the new skills. Evaluation results showed that the cadres not only understood the concept of stunting surveys but were also able to practice using the application independently to support valid, accurate, fast, and real-time child nutrition data collection. This success confirms a significant increase in cadre capacity, both in terms of knowledge and technical skills. Furthermore, this program is expected to improve the efficiency of Posyandu cadres, strengthen the health database, and support the development of more targeted nutrition policies and interventions. Thus, this activity significantly contributes to strengthening the local government's efforts to reduce stunting rates in Gowa Regency and serves as a model for strengthening technology-based public health services in rural areas.
Uji Sitotoksik Ekstrak Etanol Daun Bidara Arab (Ziziphus Spina-Christi L.) terhadap Sel Kanker Payudara (T47D) Menggunakan Metode MTT Assay
Breast cancer (T47D) is a type of cancer with the highest percentage of new cases and cause of death. Cancer treatment is usually done by surgery, chemotherapy, and radiotherapy. Cancer treatment has so far given undesirable effects such as nausea, vomiting, mouth ulcers, nail damage, and hair loss. Cancer treatment has adverse effects, thus triggering the development of alternative treatments derived from nature or plants as anticancer therapy. The Arabian Bidara plant (Ziziphus spina-christi L.) is a round-leafed plant with many thorns that can grow in tropical areas. In the leaves of the Arabian bidara (Ziziphus spina-christi L.) there are alkaloid compounds, saponins, flavonoids, tannins, phenolics, steroids, triterpionids that have properties as anticancer. This study aims to determine the anticancer activity of the ethanol extract of Arabian bidara leaves against breast cancer cells (T47D) using the MTT assay method. This study is an experimental laboratory study. Ethanol extraction of Arabian bidara leaves using the maceration method. Cytotoxic test using the MTT assay method in five concentration test groups 125; 62.5; 31.25; 15.625 and 7.8 µg / mL, then the absorbance was read using an elisa reader. Cytotoxic activity is expressed by the IC50 value. Based on the results of the study, it showed that the ethanol extract of Arabian bidara leaves was cytotoxic to T47D cells. The IC50 value obtained from the ethanol extract of Arabian bidara leaves was 2,574 µg / mL, including the very active category. From the research results, it can be concluded that the ethanol extract of Arabian bidara leaves has anticancer activity against T47D cancer cells.
Pendampingan Program Stimulasi Ibu-Anak Cegah Stunting di Posyandu Ngadi Asih Surakarta
Integrated Health Post (Posyandu) Ngadi Asih Surakarta implements Integrated Primary Services (ILP) services targeting pregnant women, toddlers, and breastfeeding mothers in support of the zero new stunting program. So far, the implementation has been limited to weighing and measuring. Problems have been identified, including the lack of health services and health education on stunting prevention. This is due to the limited knowledge and skills of cadres. The solution is an innovative Mother-Child Stimulation Program to Prevent Stunting (Prosiacting) at the Ngadi Asih Surakarta Posyandu. The activities carried out are Prosiacting Activation and Capacity Building for cadres in the form of training in Pregnancy Exercises, Baby Massage, and Oxytocin Massage. The implementation method has 6 stages: preparation, apperception, application of science and technology, mentoring, evaluation, and termination. The results of the Mother-Child Stimulation Program Innovation to Prevent Stunting (Prosiacting) have been well implemented at the Ngadi Asih Surakarta Integrated Health Post (Posyandu). Capacity Building activities for cadres were carried out well. The knowledge and skills of cadres have increased after the training, namely Pregnancy Gymnastics skills in the good category (75%), Baby Massage skills in the good category (80%), and Oxytocin Massage skills in the good category (90%). The Mother-Child Stimulation Program to Prevent Stunting (Prosiacting) has been activated. Cadres are committed to implementing the results of the training and Prosiacting routinely once a month during the Toddler Family Development activity. With the stunting prevention stimulation skills possessed by cadres, it is hoped that cadres will be able to independently accompany pregnant women, mothers of infants and toddlers, and postpartum mothers. It is hoped that this program will be routinely implemented at the Ngadi Asih Surakarta Integrated Health Post (Posyandu) as an effort to independently prevent Stunting in the Community.
Hubungan Jumlah Pengeluaran Keluarga dengan Status Pertumbuhan Bayi di Kecamatan Imogiri
Child growth issues such as stunting, underweight, wasting, and overweight remain serious health problems in Indonesia. The prevalence of growth issues remains high, with 15.9% being underweight, 8.5% being wasted, and 22.1% being stunted. One factor influencing infant growth is family spending on nutrition and healthcare. This study aims to analyze the relationship between the amount of family expenditure and the growth status of infants aged 6-12 months in Imogiri District, Bantul Regency, Special Region of Yogyakarta. This study used a quantitative approach with a cross-sectional design. This study was conducted in Imogiri District, Bantul Regency, Yogyakarta Special Region. The sample in this study were mothers with babies aged 6-12 months, totaling 163 respondents and selected using a purposive sampling technique. Data were collected through a questionnaire regarding the amount of family expenditure, both food and non-food, each month, and an analysis of infant growth status based on the infant growth status chart in the Child Health Card (KMS) according to weight/age for babies aged 6-12 months in the Maternal and Child Health Book (KIA). The data analysis technique used the Chi-Square test. Based on the Chi-Square Test, it shows a significant relationship between family expenditure and the growth of infants aged 6–12 months (p = 0.015), where infants from high-expenditure families have a 3.27 times greater chance (OR) of experiencing increased growth status. There is a significant relationship between the amount of family expenditure and the growth status of infants aged 6-12 months in Imogiri District.
Hubungan Tingkat Stres dan Status Gizi dengan Gangguan Siklus Menstruasi pada Mahasiswi Tingkat Akhir Fakultas Kedokteran Universitas Swadaya Gunung Jati
During adolescence, girls experience their first menstruation, known as menarche. The repeated occurrence of menstruation each month establishes the menstrual cycle. Menarche is the first menstrual period experienced by adolescents, and a normal menstrual cycle occurs every 21–35 days. Several factors may contribute to menstrual cycle irregularities, including stress, physical activity, use of hormonal drugs, endocrine disorders, and nutritional status. To analyze the correlation between stress levels and nutritional status with menstrual cycles in final year students of the Faculty of Medicine at Swadaya Gunung Jati University. This study employed an analytical correlational method with a retrospective approach and a cross-sectional design. A purposive sampling technique was used, involving 93 female students. The study was conducted in May 2025. Stress levels were measured using the DASS-42 questionnaire, nutritional status was assessed using the Body Mass Index (BMI), and menstrual cycles were evaluated based on respondents’ menstrual history. Data analysis was performed using Spearman’s correlation test to examine the relationship between variables. The majority of respondents had normal stress levels (68.8%) and normal nutritional status (49.5%), as well as regular menstrual cycles (63.4%). The results of the Spearman test showed a significant relationship between stress levels and menstrual cycle disorders (p = 0.006; r = 0.285) as well as nutritional status with menstrual cycle disorders (p = 0.034; r = 0.22). Multivariate analysis indicated that stress levels is the most influential factor on menstrual cycle disorders (p = <0.001). There is a significant relationship between stress levels and nutritional status with menstrual cycle disorders, with stress levels exerting a greater influence than nutritional status.
Pelatihan Pembuatan Produk Herbal sebagai Upaya Pemanfaatan Potensi Lokal Desa Sukalangu Kabupaten Pandeglang
The community service activities carried out in Sukalangu Village, Pandeglang Regency, had the main objective of increasing the utilization of local potential through the development of useful and economic herbal products. The potential of herbal plants in this village is quite abundant, but their utilization is still limited to traditional use for household needs. Therefore, a systematic effort is needed to enable the community to process them into products with added value. The implementation method of the activities included counseling on the benefits of herbal plants for health, technical demonstrations of making simple herbal products such as health drinks and traditional potions, and participatory assistance in the production process. The results of the activities showed a significant increase in community knowledge, with a 40% increase in understanding of the types, benefits, and processing methods of herbs. In addition, technical skills in mixing and processing herbs increased by 50% based on pre- and post-training evaluations. Furthermore, community interest and motivation to develop herbal-based businesses also grew, as demonstrated by the formation of small groups of residents who took the initiative to produce herbal products as household businesses. Other impacts that emerged were increased individual capacity, collective awareness to protect and utilize natural potential, and the opening of sustainable local economic opportunities. Overall, this activity makes a real contribution to supporting the independence of village communities through the utilization of local resources based on traditional wisdom.
Pengaruh Media Audio Visual (Video) dalam Pendidikan Kesehatan terhadap Tingkat Pengetahuan Hipertensi di Desa Cikeusik Kecamatan Wanasalam
Hypertension is one of the leading non-communicable diseases and a major cause of death worldwide. It is often referred to as the silent killer because it rarely shows specific symptoms, leaving many individuals unaware of their condition until serious complications occur. The low level of public knowledge about hypertension is a significant risk factor that contributes to poor prevention and control. Therefore, innovative health education strategies are urgently needed to improve community awareness, one of which is through audio-visual media such as video. This study aimed to determine the effect of audio-visual media (video) in health education on the level of knowledge about hypertension among residents of Cikeusik Village, Wanasalam Subdistrict. The research design applied was quantitative with a quasi-experimental method using a pretest-posttest with control group design. A total of 40 respondents were selected using a purposive sampling technique and divided into two groups: intervention (RT.005) and control (RT.004). The instrument used was a structured hypertension knowledge questionnaire. Data were analyzed using the Paired Sample T-Test to compare knowledge before and after the intervention, and the Independent Sample T-Test to compare differences between the intervention and control groups. The results indicated a significant improvement in hypertension knowledge after providing health education through audio-visual media (video) in the intervention group. The Independent Sample T-Test showed a significance value of p = 0.000 (p < 0.05), confirming that the use of audio-visual media had a positive and significant effect on respondents’ knowledge levels. Conclusion: audio-visual media (video) is proven to be an effective educational tool for improving community knowledge about hypertension and can be recommended as an attractive and easy-to-understand health promotion medium.
Analisis Efektivitas Transformasi Digitalisasi Pelayanan Kesehatan di RSAD Brawijaya Surabaya
The digital transformation in this study focused on three digital transformation programs implemented at Brawijaya Army Hospital: online registration services via Mobile JKN, electronic medical records, and free medication delivery services for patients. The results of this study indicate limitations in facilities and infrastructure, human resources, technological infrastructure in digital transformation, and a lack of outreach to patients regarding the digital transformation program at Brawijaya Army Hospital. Therefore, the researcher proposes several solutions to the problems that arise in the digital transformation of healthcare services at Brawijaya Army Hospital. Possible solutions include increasing the budget for improving facilities, infrastructure, and providing an independent counter for online registration via Mobile JKN. Furthermore, innovation is needed, namely creating a website or mobile application that can provide information about electronic medical records that can be accessed by patients independently with guaranteed security regarding patient personal data. Finally, a possible solution is to increase human resources with IT skills and capabilities to overcome problems with medical record servers when they are down or under maintenance and to create a website or mobile application for medical records that can be accessed by patients.
Hubungan Tingkatan Simtom Kecemasan dengan Self-Esteem Pelajar SMA Swasta Muhammadiyah 02 Medan
Anxiety is a condition when emotions that arise when individuals are under stress, and is characterized by feelings of tension, thoughts that make individuals feel worried and accompanied by physical responses (heart beat fast, increased blood pressure, and others).1 Anxiety is related to fear and manifests as a future-oriented state of mind consisting of a complex cognitive, affective, physiological, and behavioral response system associated with preparation for anticipated events or circumstances that are considered threatening. Excessive anxiety can interfere with daily activities and be a sign of general anxiety disorder. Self-esteem is one of the main factors of how individuals see themselves or the concept of self and becomes an important determinant in human behavior. Early adolescence is the most decisive period in the formation of self-esteem which is characterized by the emergence of positive or negative self-esteem changes. Method: This type of research is analytic descriptive research with a cross sectional design. This research was conducted by looking at the relationship between the level of anxiety symptoms and self-esteem in students by giving the Beck Anxiety Inventory (BAI) and Rosenberg Self-Esteem Scale (RSES) questionnaires as research measurement tools. In this study using a sample of 90 people, where the sample was divided according to strata as many as 30 samples. Test data in this study using univariate test and bivariate test Chi-Square test. Results: the test results found that there was a relationship between the level of anxiety symptoms on the self-esteem of students of SMA Swasta Muhammadiyah 02 Medan and obtained a significant value of <0.001 (p<0.05). Conclusion: there is a significant relationship between the level of anxiety disorders to self-esteem in students of SMA Swasta Muhammadiyah 02 Medan.
Strengthening the Capacity of Healthcare Providers through the Introduction of Hematological Indices as Sepsis Markers
Sepsis is the most common cause of increased mortality and morbidity. Culture is a gold standard, but it is time-consuming and has a low positive rate. Currently, procalcitonin is a reliable biomarker for diagnosing and predicting sepsis, but the cost is high, and it is not always available in every laboratory facility. Objective: To examine neutrophil-lymphocyte count ratio(NLCR), platelet distribution width(PDW), and Mean Platelet Volume(MPV), which can be used as markers of sepsis compared with Procalcitonin(PCT). Method: This was a cross-sectional study of 40 adult patients who entered the Emergency Department. The study took place from May 2017 to June 2017. All patients had blood samples taken on the first day of treatment. Blood culture is used as the gold standard. PCT, NLRC, PDW, and MPV values were compared between patients with positive and negative blood cultures. Results: of 40 adult patients, 25 had positive blood culture, and 15 had negative results. The performance of PCT, NLRC, PDW, and MPV was significantly higher in patients with positive blood culture compared with the negative consequence AUC=0.915/0.768/0.756/0.733, P=<0.001/0.005/0.012/0.007,respectively).NLCR was found to have a better diagnostic efficiency for predicting sepsis, with greater sensitivity and accuracy than platelet indices. Spearman correlation test showed a significant correlation between NLCR and PCT levels in sepsis patients (rs=0.504; P=0.001). The combination of NLCR, PDW, and MPV demonstrated a good diagnostic performance (sensitivity 76%, specificity 66,7%), similar to procalcitonin (sensitivity 88%, specificity 66,7%). Conclusion: The increase of NLCR has an opportunity to be an indirect marker of increased PCT levels. Combining these three parameters could be a marker to distinguish sepsis from non-sepsis.
Sosialisasi Penyakit Diabetes Mellitus untuk Meningkatkan Pengetahuan Pasien
Diabetes mellitus (DM) is a non-communicable disease with a globally increasing prevalence, representing a major public health concern in the 21st century. This community service aimed to conduct a diabetes mellitus socialization program to enhance family members’ knowledge about the disease. Limited knowledge among the public often leads to delayed diagnosis, inadequate management, and higher risk of complications. A participatory approach and health education method were applied, emphasizing contextual, sustainable, evidence-based, and gender-sensitive principles. The program involved several stages, including stakeholder coordination, baseline surveys, needs assessment, development and delivery of training materials, and final evaluation. A total of 25 participants from families of diabetes patients at Dr. Sosodoro Djatikoesomo Bojonegoro Hospital took part in the program. Findings revealed that the intervention significantly improved participants’ knowledge, with an average score increase of 25.4 points or 52.7% from the pre-test (p < 0.001). Knowledge distribution shifted positively from a majority in the poor category (68%) to the fair-to-good category (92%). The greatest improvement was found in diabetes complications (36.4 points), followed by diabetes management (34.1 points), and diabetes symptoms (13.6 points). Participants’ satisfaction reached 100%, with 96% reporting being very satisfied. Interactive learning through discussion sessions proved effective in transferring knowledge and correcting misconceptions.
IbM Gerakan Cuci Tangan (CITA) sebagai Upaya Pencegahan Terjadinya Diare pada Anak Prasekolah
Diarrhea remains one of the leading causes of morbidity and mortality among children under five, including in Indonesia. Preschoolers are particularly vulnerable due to their immature immune systems and frequent contact with the environment during play. Poor hygiene practices, especially the lack of proper handwashing with soap, are major contributing factors. This community service program aimed to improve preschool children’s knowledge and skills in handwashing through the Handwashing Movement (CITA) at TK Kartika III-10 Semarang on April 17, 2025, involving 34 students and 3 teachers. The intervention included health education, educational videos, ice breaking activities, and demonstration of the WHO-recommended six steps of handwashing, followed by guided practice. Evaluation results showed a significant improvement in correct handwashing skills, increasing from 24% before the intervention to 88% after. The CITA program proved effective in fostering handwashing habits among preschoolers and has the potential to reduce the incidence of diarrhea while promoting healthy living from an early age.
Inovasi Model Pemanasan Secara Cerdas dalam Mendukung Terciptanya Jantung Sehat pada Posyandu Lansia
The “Sejahtera” Elderly Posyandu is one of the integrated health posts (Posyandu) fostered by the Jaten II Ngringo Community Health Center (UPT) in Jaten, Karanganyar. Ngringo is developing the “Ngudi Sehat” Quality Family Village, which focuses on improving the quality of life of families. In terms of health potential, the presence of the Mojosongo 2 Special Surgery Hospital, the Hajah Rodiah Maternity Hospital, and the Jaten 2 Community Health Center supports health services for the community. Ngringo has a strategic location, as the gateway to Karanganyar Regency, Ngringo has the potential to be a center for trade, distribution, and public services, and has supporting infrastructure such as markets, terminals, and flyovers to support economic activities and mobility. This community service model (method) uses 7 (seven) main activity stages, namely Identification of partner problems and needs, preparation of innovative materials and media, apperception, implementation of the Warming Model (counseling and training to posyandu cadres and the elderly, cooking healthy food for cadres and participants, simple health checks for cadres and participants, provision of simple health equipment), monitoring, evaluation and mentoring, documentation and reporting and termination. The results of this activity are The conclusion of the results of this PMP activity is. The output of this PMP is a PKM journal article indexed by Sinta 4 https://journalshub.org/index.php/JPIKes, Jawa Pos newspaper, activity videos and books.
Penerapan Trichoderma Meningkatkan Kualitas Air Tambak di Desa Pao, Luwu Utara
Traditional pond aquaculture often struggles with declining water quality due to feed waste accumulation and chemical use. Trichoderma, a saprophytic fungus widely known as a biological control agent, offers an environmentally friendly alternative for improving pond conditions. This article reports a community service program in Pao Village, North Luwu, where liquid Trichoderma was applied in traditional ponds and its impact on water quality was evaluated. Activities included training local farmers in fungal propagation and inoculum application for whiteleg shrimp and milkfish culture. Laboratory tests of water quality parameters were conducted before and one month after application. Results showed notable improvements: pH increased from 6.8 to 7.0, ammonia decreased from 0.2322 to 0.2119 mg/L, nitrite dropped from 0.0751 to 0.0174 mg/L, and total phosphate declined by approximately 29%. Water clarity also improved as total suspended solids decreased from 11 to 9 mg/L, while dissolved oxygen remained stable (5.71–5.53 mg/L). These findings demonstrate that Trichoderma effectively stabilizes pond ecosystems by reducing toxic compounds and maintaining favorable conditions for aquaculture. The intervention not only supports sustainable and eco-friendly aquaculture practices but also empowers local farmers to reduce dependency on chemicals and antibiotics, ultimately enhancing productivity and contributing to food security.
Antimicrobial Potential of Coleus Atropurpureus and its Metabolites Content: A Literature Review
The increasing prevalence of multidrug-resistant bacterial infections underscores the urgent need for new antimicrobial agents, especially those derived from plant-based sources. Coleus atropurpureus, a medicinal plant used extensively in Asia and Oceania, contains various bioactive compounds, including flavonoids, terpenoids, and phenolic acids, which have demonstrated antimicrobial properties. This review examines studies published between 2015 and 2025, highlighting the antibacterial activity of ethanolic and methanolic extracts of C. atropurpureus, particularly against methicillin-resistant Staphylococcus aureus (MRSA). Phytochemical analysis reveals that these extracts exert their antimicrobial effects through multiple mechanisms, including the disruption of microbial membranes, enzyme inhibition, the induction of reactive oxygen species, and immunomodulatory actions. Furthermore, the extracts have shown synergistic effects when combined with antibiotics, suggesting their potential as adjunct therapies. The evidence gathered supports the therapeutic potential of C. atropurpureus as a natural antimicrobial agent, offering a promising alternative to conventional antibiotics in combating drug-resistant infections.
Pemberdayaan Remaja Putri melalui Edukasi Booklet Konsumsi Tablet Tambah Darah sebagai Upaya Pencegahan Anemia di Posyandu AR-Rahman Sekayu Musi Banyuasin
Anemia remains a prevalent health problem among adolescent girls in Indonesia. Low knowledge and poor adherence to Iron-Folic Acid (IFA) tablet consumption present challenges in anemia prevention efforts. This community service activity aimed to improve adolescent girls’ knowledge and attitudes regarding anemia prevention through education using a booklet. The implementation methods included interactive lectures, group discussions, demonstrations of IFA tablet consumption, and evaluation through pre-test and post-test among 20 adolescent girls aged 15–18 years at Posyandu AR-Rahman Sekayu. The results showed a significant increase in knowledge: the “good” category rose from 25% (pre-test) to 75% (post-test), while the “poor” category decreased from 30% to 0%. A total of 60% of participants reported practicing routine IFA tablet consumption, and 85% stated that the booklet was accessible and easy to understand. Conclusion: Booklet-based education was effective in increasing knowledge and practices of anemia prevention among adolescent girls. This activity has the potential to be scaled up and replicated in other community health posts (posyandu).
Pencegahan Stunting melalui Peningkatan Gizi Ibu Hamil dan Anak Balita di Desa Perlis Kabupaten Langkat
Stunting remains one of the major public health challenges in Indonesia, including in Perlis Village, Langkat Regency. This community service program aimed to improve knowledge, awareness, and nutritional practices among pregnant women and families as an effort to prevent stunting. The implementation was divided into three stages: preparation, implementation, and evaluation. Activities included baseline surveys, nutrition education through counseling and workshops, regular nutrition classes, provision of supplementary foods, and collaboration with local farmers to ensure access to nutritious food sources. The results of the program showed a significant increase in pregnant women’s nutritional knowledge from 40% to 80%, positive changes in dietary patterns with 70% of participants reporting increased consumption of fruits and vegetables, and improved awareness of stunting from 30% to 75%. In addition, access to local nutritious food sources became more available through community partnerships. In conclusion, nutrition education integrated with the utilization of local food resources can enhance family understanding and dietary practices, thus potentially reducing the risk of stunting. It is recommended that similar programs be implemented sustainably with cross-sectoral support to strengthen community nutritional resilience.
Hubungan Anemia Defisiensi Besi dengan Status Gizi Anak Usia 0–17 Tahun di RSUD Dr. Pringadi Medan 2023–2024
Iron deficiency anemia (IDA) remains a major nutritional problem among children in developing countries, significantly affecting health, growth, and development. IDA occurs when hemoglobin levels decrease due to insufficient iron intake, thereby limiting oxygen distribution to body tissues. This study aimed to analyze the relationship between IDA and nutritional status among children aged 0–17 years treated at Dr. Pringadi General Hospital Medan during 2023–2024. A cross-sectional analytic design was employed with a population of 76 children, and 64 samples met the inclusion criteria. Data were collected from medical records, including hemoglobin levels, body weight, height, age, and gender. Statistical analysis was conducted using the chi-square test with SPSS. Results showed that the prevalence of IDA was 84.4% (54 children), while poor nutritional status was found in 51.6% (33 children). Statistical testing confirmed a significant association between IDA and nutritional status (p = 0.018 < 0.05). These findings emphasize the close link between anemia and malnutrition in influencing child growth and development, although not all children with IDA were undernourished. This suggests the involvement of other factors such as parenting practices, dietary diversity, and infection status. The study recommends comprehensive interventions, including nutrition education, iron supplementation, improved dietary quality, and continuous nutritional monitoring, to reduce the prevalence of IDA and malnutrition, thereby supporting healthier and more productive future generations.
Pemberdayaan Komunitas Ibu CeTar (Cegah Stunting Anakku Cerdas) di Desa Mata Allo Kabupaten Gowa
The Ibu Ce T Ar Community Empowerment Program (Prevent Stunting My Smart Child) in Mata Allo Village, Gowa Regency, aims to improve maternal health literacy and prevent stunting through a technology-based approach. Given the high rate of stunting (23%) associated with low maternal knowledge of exclusive breastfeeding and limited access to information, the program is designed in three stages: preparation and planning, training and dissemination, and promotion and socialization. In the initial stage, coordination with partners and the preparation of SOPs are carried out. Furthermore, cadres are intensively trained to use the Ce T Ar application, which is an educational and communication medium. The app comes with breastfeeding guidance features, discussion forums, online counseling support, and baby growth monitoring. The results of the evaluation showed a 32% increase in maternal knowledge after training, with the understanding of the importance of exclusive breastfeeding increasing from 45% to 90%. As many as 85% of participants actively use the app, which has been proven to help them implement correct breastfeeding practices. In terms of mentoring, 18 out of 20 mothers managed to provide exclusive breastfeeding for six months, while 15 mothers have implemented local MP-breastfeeding based on household food. The program also produces key cadre mentors who will train cadres in other villages, ensuring the sustainability of this initiative. Thus, this program shows great potential in empowering the community to prevent stunting in Mata Allo Village.
Peningkatan Kualitas Pelayanan Klinik Pratama dengan Aplikasi Mommy-Be
Maternal and child health services in primary care facilities often face challenges in postpartum monitoring and lactation support. Information technology-based innovation is needed to efficiently improve service quality. This community service program aims to implement the Mommy-Be app, an mHealth app that supports lactation and infant growth and development, at the Zamzam Health Clinic (KSZ) as a model for innovation at Primary Clinics. Implementation methods included socialization of the app to health workers, hands-on training on how to use the app, and evaluation through pre- and post-knowledge tests and user satisfaction surveys. The results showed an increase in health workers' understanding of digital services, and all participants successfully used the Mommy-Be app's features in simulations. The clinic expressed its commitment to integrating Mommy-Be into routine services, accompanied by high enthusiasm for adopting technological innovations. This implementation contributed to improving the quality of postpartum and lactation care and supporting the Sustainable Development Goals (SDGs) in maternal-child health. The program also involved university students through the MBKM scheme, strengthening collaboration between academia and health services. In conclusion, the implementation of Mommy-Be successfully empowered health workers and encouraged digital transformation at the primary care level. In the future, the program has the potential to be replicated in other clinics with continued support for continued benefits to the community.
Review Literatur: Faktor yang Mempengaruhi Penemuan Kasus Tuberkulosis
Tuberculosis (TB) remains a global public health problem with low case detection rates, especially in developing countries including Indonesia. Low TB detection hinders efforts to eliminate TB by 2035. This study aims to review the factors that influence TB case detection based on the results of research conducted over the past five years. The method used was a literature review with articles retrieved from PubMed, ScienceDirect, and Google Scholar for the period 2019–2024. The inclusion criteria included studies discussing individual, socioeconomic, environmental, and health system factors affecting TB detection. A total of 15 articles met the criteria and were analyzed thematically. The results showed four main groups of factors that influence TB case detection, namely: (1) individual factors such as knowledge, stigma, and seeking treatment behavior; (2) socioeconomic factors including poverty, education, and access to health services; (3) environmental factors such as housing density and home ventilation; and (4) health system factors including workforce competence, diagnostic facilities, and reporting systems (Gunawan et al., 2022; Mohammed et al., 2023; Liu et al., 2024). In conclusion, efforts to increase TB case detection require a multidimensional approach through strengthening the capacity of health workers, community empowerment, environmental improvement, and cross-sector collaboration. This sustainable strategy is important to achieve the WHO's End TB Strategy 2035 target (WHO, 2023).
Perbandingan Gambaran Foto Toraks Antara Pasien Tuberkulosis dengan Diabetes Melitus dan Pasien Tuberkulosis tanpa Diabetes Melitus di RSUP H. Adam Malik Medan
Diabetes mellitus (DM) and tuberculosis (TB) have a synergistic effect in worsening the disease severity and treatment outcomes. Chest radiography is the standard imaging modality for TB diagnosis, so identifying characteristic chest radiograph findings has the potential to accelerate early diagnosis and anticipate management in TB patients with and without DM. This study aimed to compare chest x-ray findings between tuberculosis patients with and without DM. This was a cross-sectional study of pulmonary TB patients who underwent posteroanterior (PA) chest x-ray at the Pulmonology Clinic of Haji Adam Malik General Hospital from January 2023 to June 2025. Data were obtained from patient medical records. Bivariate analysis used the chi-square test if the data were normally distributed, or the Fisher exact test if the data were not normally distributed. A p-value <0.05 was considered statistically significant. In TB patients with DM, 81.3% of patients had lesions in the upper lung fields, 65.3% had lesions in the middle lung fields, and 50.7% had lesions in the lower lung fields. The most dominant lesion characteristics were infiltrates (73.3%), fibrosis (42.7%), and consolidation (26.7%). In TB patients without DM, 36% of patients had lesions in the upper lung fields, 29.3% of patients had lesions in the middle lung fields, and 21.3% of patients had lesions in the lower lung fields. The most dominant lesion characteristics were infiltrates (44%), consolidation (25.3%), and fibrosis (18.7%). In TB patients with and without diabetes, the majority of patients had lesions in the upper lung fields, and infiltrates were the most dominant lesion.
Perilaku Hidup Bersih dan Sehat (PHBS) Melalui Pendidikan Kesehatan Penggunaan Air Bersih dalam Penurunan Angka Stunting di Desa Cot Beut Kecamatan Kuta Baro Kabupaten Aceh Besar
Clean and Healthy Living Behavior is a community effort to implement and practice clean and healthy living patterns in order to create a clean and healthy environment that can prevent the spread of disease. The purpose of Clean and Healthy Living Behavior is to increase knowledge, awareness, and progress of the community to live healthily and increase the active role of the community in efforts to realize an optimal standard of living. The benefits of Clean and Healthy Living Behavior are to increase public awareness so that they are willing and able to live a clean and healthy life, can prevent and anticipate health problems that they face. Adequate environmental sanitation is a prerequisite for actively adopting clean and healthy lifestyles. Poor access to clean water and sanitation facilities can increase the incidence of infectious diseases, diverting energy for growth to fight infection, making it difficult for the body to absorb nutrients, and stunting growth. Stunting is a condition of growth failure in children due to prolonged malnutrition and repeated infections, especially in the first 1000 days of life, which is characterized by height that is not appropriate for their age. Health education is the process of conveying information, skills, and understanding about health to the community with the aim of increasing knowledge, awareness, and healthy behavior and motivating individuals to adopt a healthier lifestyle. The community service activity was carried out in Cot Beut Village, Kuta Baro District, Aceh Besar Regency, with 24 participants. This counseling lasted approximately 50 minutes, consisting of material presentation and a question and answer session with participants regarding PHBS. The community was advised to adopt Clean and Healthy Living Behaviors to prevent disease.
Gambaran Aktivitas Penyakit dengan Indeks Basmi pada Pasien Spondiloartritis di Poli Reumatologi RSUD Dr. Soetomo Surabaya
Spondyloarthritis (SpA) is a group of inflammatory diseases affecting the peripheral and axial joints, with a significant impact on patients’ quality of life and productivity. Diagnosis and evaluation of disease activity are often hindered by non-specific symptoms. This study aims to evaluate SpA disease activity using the Bath Ankylosing Spondylitis Metrology Index (BASMI) at Dr. Soetomo General Hospital, Surabaya. This was a descriptive cross-sectional study using consecutive sampling. A total of 50 SpA patients were examined, with 45 meeting the inclusion criteria. Data were obtained through measurement of five BASMI components: tragus to wall distance, lumbar side flexion, modified Schober’s test, cervical rotation, and intermalleolar distance. The majority of patients were aged 17–60 years, with a mean age of 41.83 years, and were predominantly female (88.89%). Measurements showed that most patients had a tragus-to-wall distance of 10–12.9 cm, lumbar side flexion of >20 cm, modified Schober’s test of >7 cm, cervical rotation ranging from 59.6° to 68°, and intermalleolar distance between 70–79.9 cm and 50–59.9 cm. The total BASMI scores ranged from 0.4 to 3.8, with the majority falling within the range of 2–2.99. There is a variation in the degree of axial movement limitation among SpA patients as measured by BASMI, which can serve as a practical evaluation tool in clinical practice. In the assessment of each BASMI component, the average score showed a tragus-to-wall distance of 11.74 (+/- 3.46) cm, lumbar side flexion of 25.73 (+/- 8.94) cm, Modified Schober's test of 7.11 (+/- 2.27) cm, Cervical Rotation of 64.4 (+/- 11.5)°, intermalleolar distance of 64.69 (+/- 18.13) cm. In general, the results of BASMI measurements in the subjects showed limitations in axial and peripheral movements, which reflected the activity of SpA disease in this population.
Peningkatan Kualitas Layanan Laboratorium dalam Upaya Meningkatkan Kepuasan Pasien di Puskesmas Awal Terusan Kecamatan SP Padang Kabupaten Ogan Komering Ilir
Laboratory services are an essential part of primary health care in community health centers (puskesmas). High-quality services support accurate diagnosis, timely treatment, and public trust. However, the 2024 community satisfaction survey indicated that the laboratory services at Puskesmas Awal Terusan still face several challenges, particularly in service speed and responsiveness to complaints. This study aims to analyze the quality of laboratory services from the perspective of service users and its relationship with patient satisfaction. The research used a quantitative approach with a cross-sectional design. Data were collected through questionnaires from 98 respondents who had used the laboratory services and were analyzed using descriptive and bivariate analyses (Chi-Square test and simple logistic regression). The results showed that, in general, the quality of services was rated as good, especially in terms of staff empathy, accuracy of results, and implementation of occupational safety. However, there were limitations in equipment availability, long waiting times for results, and low responsiveness to patient complaints, with the indicator “Handling of Complaints, Suggestions, and Feedback” receiving the lowest score in the survey. It can be concluded that the quality of laboratory services at Puskesmas Awal Terusan is generally good but still not optimal. Improvements in staff competence, equipment availability, and the complaint-handling system are needed to enhance patient satisfaction.
Optimalisasi Pengolahan Menu Makanan Sehat untuk Pemenuhan Gizi Anak Pra Sekolah dengan Pemanfaatan Bahan Pangan Lokal
Improving the nutritional quality of early childhood plays a very important role in supporting optimal growth and development, especially in the Bogor City area which still faces stunting problems. This activity aims to increase the understanding of kindergarten teachers and parents about the importance of balanced nutrition and the use of local food ingredients as well as serving healthy and attractive food. Seminars and workshops have been carried out, covering balanced nutrition materials, cooking techniques and serving healthy food menus, and the use of local food ingredients. In addition, the application of technology is carried out through mass media, YouTube, the Healthy Child Menu (MAS) booklet and the e-Mas application to disseminate information about the importance of balanced nutrition. Evaluation of this community service activity was carried out through pretests and posttests which showed a significant increase in participant knowledge, with a T = -3.500 and p value = 0.000, meaning there is an influence of knowledge about processing healthy food menus to fulfil the nutritional needs of pre-school children. This community service activity is expected to reduce the number of malnutrition in early childhood and encourage parents to use local food ingredients as an effort to maintain children’s health in kindergarten.
Hubungan Faktor Risiko dan Fisioterapi terhadap Pemulihan Fungsional Pasien Post Stroke
Functional recovery after stroke is a complex process and is influenced by various factors, both previous health conditions and the quality of rehabilitation interventions. This study aims to analyze the relationship between cardiometabolic risk factors (age, hypertension, diabetes mellitus, and comorbidities) and physiotherapy characteristics on the level of functional recovery of post-stroke patients at Karya Suci Physiotherapy Practice. The study used a cross-sectional design involving 40 post-stroke patients in 2025. Data analysis was performed using the chi-square test and Spearman correlation at a significance level of α = 0.05. The results showed that 20% of patients achieved functional independence. Hypertension (p = 0.003), diabetes mellitus (p = 0.008), and body mass index (p = 0.000) were significantly associated with the level of independence. Frequency (r = 0.820), duration (r = 0.442), and physiotherapy involvement (r = 0.776) had a positive correlation with functional improvement. Multimodal therapy combining Infrared, TENS, active exercise, and the Bobath method was shown to be more effective than therapy without electrotherapy (p = 0.002).
Penerapan Teknologi Ekstraksi Oleoresin Jahe (Zingiber Officinale) Ramah Lingkungan dan Konvensional
Ginger waste, including peel and residue from herbal extract or beverage industries, still contains valuable bioactive compounds such as gingerol, shogaol, and zingerone. These compounds have significant potential as multifunctional bioactive ingredients in food, pharmaceutical, and cosmetic applications. This review aims to summarize and compare various extraction methods for ginger oleoresin from waste materials, including conventional techniques (maceration and Soxhlet) and advanced green extraction methods such as Ultrasound-Assisted Extraction (UAE), Microwave-Assisted Extraction (MAE), and Supercritical CO₂ Extraction (SC-CO₂). The findings indicate that modern extraction techniques offer higher yield, shorter processing time, and greater selectivity of active compounds compared to traditional methods. Process modifications, including enzymatic pretreatment and three-phase partitioning, have been shown to enhance oleoresin recovery and quality. Key challenges include the development of green solvents, optimization of process parameters, and preservation of bioactive stability. Further research is needed to establish efficient and sustainable extraction approaches suitable for natural product research.
Kontribusi Regulasi Diri terhadap Perilaku Cyberloafing pada Tenaga Kesehatan di Puskesmas Kecamatan X
This study aims to analyze the contribution of self-regulation to cyberloafing behavior among healthcare workers at the X Sub-District Community Health Center (Puskesmas). The research background is driven by the widespread internet usage in Indonesia, reaching 229 million users or 80.66% penetration rate in 2025 (APJII, 2025), which potentially leads to digital distractions such as cyberloafing that disrupt productivity and patient safety in the healthcare sector. A quantitative regression approach was employed with a sample of 104 respondents, utilizing the Self-Regulation Questionnaire adapted from Pichardo et al. (2014) (15 items, 1-4 scale) and the Cyberloafing Scale from Blanchard and Henle (2008) (8 items, 1-5 scale). Data were analyzed using simple linear regression via IBM SPSS version 26.0. The results indicate that self-regulation has a significant negative effect on cyberloafing (t = -12.042, p < 0.05; β = -0.621), contributing 58.7% (R² = 0.587). These findings suggest that enhancing self-regulation can suppress cyberloafing tendencies, recommending daily training programs and restricted internet access policies at puskesmas to improve service responsiveness.
Hubungan Karasteristik, Pengetahuan,Sikap Dan Tindakan Penderita Tuberkulosis Paru Dengan Kepatuhan Minum Obat Dipuskesmas Simpang Dolok Batu Bara
This study aims to analyze the relationship between characteristics, knowledge, attitudes, and actions of Pulmonary Tuberculosis patients with medication adherence at Simpang Dolok Health Center, Batu Bara Regency. The study design used a quantitative approach with the Spearman correlation method to measure the relationship between variables. The number of respondents was 35 people selected purposively. The results showed that the knowledge variable did not have a significant relationship with medication adherence (r = -0.056; p = 0.748), while the attitude and action variables had a significant and positive relationship with adherence (attitude: r = 0.641; p = 0.000 and action: r = 0.568; p = 0.000). These findings indicate that the formation of positive attitudes and real actions of patients play a key role in the success of Pulmonary TB treatment, while knowledge alone is not enough. Therefore, health promotion interventions should be focused on strengthening attitudes and assisting patient actions so that compliance can be optimally improved.
Gerakan Ibu Hamil Cerdas Mengonsumsi Obat (GICMO): Upaya Pencegahan Risiko Terkait Penggunaan Obat Selama Kehamilan
Medication use during pregnancy is a sensitive issue due to potential risks to both maternal and fetal health. Lack of knowledge among pregnant women about safe medication practices often leads to self-medication errors. The Movement of Smart Pregnant Mothers in Medication Use (GICMO) aims to improve pregnant women’s knowledge and awareness regarding rational and safe drug use during pregnancy. The method used was health education through leaflets, interactive discussions, and case simulations. The results showed an increase in pregnant women’s knowledge about drug safety categories and the importance of consulting health professionals before taking any medication, with an average knowledge score improvement of 35%. Based on the evaluation results before and after the activity, there was a 78% increase in participants’ knowledge regarding safe and risky drug categories during pregnancy, as well as an improvement in their awareness to always consult healthcare professionals before taking any medication. This activity demonstrates that structured health education can be an effective strategy to prevent medication-related risks during pregnancy
Efektivitas Sistem Kewaspadaan Dini dan Respon terhadap Pencegahan Kasus Gigitan Hewan Penular Rabies dengan Pendekatan Epidemiologi di Puskesmas BP Nauli Kota Pematangsiantar
Rabies is a deadly zoonotic disease and remains a public health threat in Indonesia, including in Pematangsiantar City. Although preventable through vaccination and rapid intervention, cases of animal bites transmitting rabies (HPR) continue to increase. The government has implemented an Early Alert and Response System (SKDR) for rapid detection and response, but its effectiveness at the community health center (Puskesmas) level needs to be evaluated. This study aims to analyze the effectiveness of SKDR implementation in preventing and controlling HPR bite cases at the BP Nauli Community Health Center in 2024 using a quantitative descriptive-analytical approach. Data were obtained through observation, interviews, and analysis of SKDR and PEP reports. The results showed that the majority of SKDR reports were complete (92.3%) and there were no reporting disruptions (92.3%). Fisher's exact test showed a significant relationship between SKDR implementation and disruptions in rabies reporting (p = 0.026). In conclusion, an optimal SKDR system improves the effectiveness of rabies reporting and response.
Literature Review: Implementasi Strategi Penanggulangan Bencana Banjir oleh Pemerintah Kota Palembang di Kecamatan Seberang Ulu I Dan Seberang Ulu II
This study aims to comprehensively examine the implementation of flood disaster management strategies by the Palembang City Government, particularly in the Seberang Ulu I and Seberang Ulu II districts, through a literature review approach. These areas are highly vulnerable to flooding due to their lowland topography and proximity to the Musi River. The study employs a review of various literature sources, including scholarly journals, government policy reports, and disaster management planning documents published between 2015 and 2024. The findings reveal that the implemented flood management strategies encompass three main stages: pre-disaster, emergency response, and post-disaster recovery. At the pre-disaster stage, the Palembang City Government focuses on enhancing community capacity through disaster education and the development of drainage infrastructure. However, the effectiveness of these strategies is still hindered by several challenges, such as limited budgets, lack of inter-agency coordination, and low community participation in mitigation programs. During the emergency response phase, the government’s reaction is considered relatively quick but has yet to be fully integrated with provincial-level disaster management agencies. This review concludes that flood disaster management efforts in Palembang require stronger policies emphasizing both structural and non-structural mitigation, cross-sectoral synergy, and increased
Kajian Pustaka: Analisis Faktor Predisposing, Reinforcing, dan Enabling dengan Partisipasi Masyarakat Mengenai Mitigasi Bencana Banjir
This study was motivated by the complexity of flooding issues, which require synergy between knowledge, attitudes, social support, and the availability of resources to create effective community participation. The purpose of this study was to analyze how the three main factors in the PRECEDE model predisposing, reinforcing, and enabling affect the level of community involvement in flood mitigation. A qualitative approach using a literature study method was used to gain an in-depth understanding of the determinants of community behavior based on empirical and conceptual studies from various scientific sources. Data was obtained through a search of journals, research reports, and public policies relevant to the context of hydrometeorological disaster mitigation. The results of the study show that predisposing factors such as knowledge and attitudes have a dominant influence on community preparedness, while reinforcing factors such as social support and community leaders strengthen the sustainability of participation. Enabling factors, which include infrastructure, policies, and access to information, have been proven to increase the community's ability to take preventive action. These findings confirm that the effectiveness of flood mitigation depends on the synergistic integration of these three factors to create a community that is adaptive, resilient, and empowered in facing the threat of disasters in a sustainable manner.
Analisis Faktor-Faktor yang Mempengaruhi Safety Climate pada Facility Management Services Area Sumbagsel
This study aims to analyze the factors that affect the safety climate in the work environment of the Facility Management Services Area of South Sumatra. The safety climate is a shared perception of employees about the importance of occupational safety that reflects management's commitment and individual behavior to the application of safety principles. The research method used is a quantitative approach with a survey design using questionnaires distributed to employees in various operational divisions. The variables analyzed included safety leadership, safety communication, safety training, employee engagement, and organizational policies on safety. The data was analyzed using multiple linear regression to see the influence of each variable on the safety climate. The results showed that safety leadership and safety communication have a significant influence on the formation of a positive safety climate, while safety training and organizational policies provide an indirect influence through increased employee participation. In addition, this study also revealed that the relationship factor between workers also strengthens the overall perception of safety. These findings underscore the importance of the role of management and effective communication in building a sustainable safety culture in the facility management sector.
Peningkatan Kapasitas Pemandu Wisata Melalui Pelatihan Basic Life Support dan P3K di Destinasi Wisata Alam Sendang Seruni, Banyuwangi
This community service activity was carried out as an effort to improve the safety of tourists in the Sendang Seruni water tourism destination, Tamansari Village, Licin District, Banyuwangi Regency. This location is one of the leading tourist attractions with natural panoramas and natural pools sourced from seven mountain springs. However, tourism managers, especially the Sendang Seruni tourism awareness group (Pokdarwis), do not have basic skills in handling emergencies such as water tourism accidents and adequate safety facilities. Based on these conditions, the service team from the Banyuwangi State Polytechnic carried out training and assistance in Basic Life Support (BLS) and First Aid in Accidents (P3K) involving 20 participants from Pokdarwis members. The implementation method includes location surveys, preparation of work plans, theoretical and practical training with professionals from PMI Banyuwangi, and evaluation of the results of activities. Participants were given an understanding of emergency handling such as artificial breathing, cardiac compression, and first aid in water accidents. The results of the activity showed a significant increase in the knowledge and skills of participants related to safety and first aid procedures, as evidenced by competency certification from PMI. In addition, the procurement of safety support facilities such as fire extinguishers, buoys, and P3K boxes also strengthens the preparedness of Pokdarwis in dealing with the risk of accidents in tourist areas. This activity is expected to be a sustainable preventive step in building a culture of tourism safety, as well as supporting the development of sustainable tourism in Banyuwangi.
Pemberdayaan Kelompok Usaha Pembuatan Lomoq Mandar dalam Upaya Pencegahan Luka Tekan pada Pasien Tirah Baring dengan Pendekatan Teknologi
The Mandar people in West Sulawesi have a traditional coconut oil, "Lomoq Mandar," which is made from the abundant coconut in the area and is known to have health benefits, such as anti-inflammatory properties and natural moisture. This oil manufacturing business group has great potential in terms of natural resources and market opportunities, but it also faces technical, managerial, and marketing challenges that hinder the sustainable development of the business. This community service program aims to empower the traditional coconut oil manufacturing business group "Lomoq Mandar" in an effort to prevent pressure ulcers in bedridden patients. Pressure ulcers are a serious problem that can be prevented through optimal skin care, including the use of natural moisturizers. The Mandar community has great potential in making Lomoq Mandar, but faces challenges in health and business management aspects. The program is implemented in four stages: first, coordination and needs analysis with partners to understand the challenges at hand; second, the design and implementation of digital promotions through social media to expand market reach; third, training in the use of modern tools and business management to improve production efficiency; and fourth, program evaluation to measure the impact of activities. Results of activities After the intervention, Lomoq Mandar oil production increased from less than 40 bottles to 80 bottles per day, with sales turnover also increasing. The product now has professional packaging and complete legality, and SOP is implemented to ensure quality. Marketing strategies through social media have increased public awareness of the health benefits of the product. This program is in line with the Sustainable Development Goals (SDGs) related to health, hunger alleviation, and economic growth, and has succeeded in improving community welfare and business sustainability.
Hubungan Komunikasi Terapeutik Perawat dengan Tingkat Kecemasan pada Anak Usia Prasekolah di Ruang St. Theresia Rumah Sakit Elisabeth Medan Tahun 2024
Children commonly experience anxiety during hospitalization, especially when they are unfamiliar with the clinical environment. Therapeutic communication serves as an essential nursing skill that can reduce this anxiety and help young patients feel more secure. This study examines the relationship between nurses’ therapeutic communication abilities and the anxiety levels of hospitalized preschool children. Using a quantitative cross-sectional design, the research involved 48 participants selected through complete sampling, with data collected using structured questionnaires. Therapeutic communication was measured using a nurse communication assessment tool, while the Spence Children’s Anxiety Scale (SCAS) Preschool version was used to evaluate anxiety levels. The findings revealed that 22 respondents (45.8%) perceived nurses’ therapeutic communication as very poor, and 18 children (37.5%) showed moderate anxiety. Statistical analysis using the Spearman rank correlation test produced a p-value of 0.002 (p < 0.05), demonstrating a significant negative relationship between nurses’ therapeutic communication and anxiety levels among preschoolers at Santa Elisabeth Hospital Medan in 2024, with a correlation coefficient of 0.440. These results suggest that implementing structured training programs in therapeutic communication could enhance nurses’ ability to provide supportive and anxiety-reducing care for young patients.
Pemberdayaan Masyarakat dalam Pencegahan Kekerasan Seksual Melalui Program Edukasi dan Konseling Berbasis Gender di Pondok Pesantren Assanahdiyah Sebrang ULU II Palembang
The World Health Organization (WHO) states that approximately 1 in 3 women worldwide have experienced physical or sexual violence during their lifetime. One preventative measure considered effective is gender-based education. This education emphasizes understanding equality between men and women, respect for individual rights, and awareness of the risks and prevention of sexual violence.The socialization approach, training, technology implementation, mentoring, and program sustainability methods ensure that community empowerment in preventing sexual violence can run effectively.The results of the analysis show that most respondents are in the category Tall , which indicates that gender-based education and counseling programs have had a positive influence on the knowledge, attitudes, and awareness of young people in preventing sexual violence. In addition to statistical data, pretest and posttest data were used to conduct the test analysis based on the results. Paired t-test, obtained valuep = 0.000 (< 0.05), indicating a significant difference between scores before and after the education and counseling program. Respondents demonstrated a good understanding of the forms of sexual violence, the right to refuse unwanted touching, and the importance of seeking help when an incident of sexual violence occurs. It is recommended that this program be continued and expanded to other faculties or institutions.
Efisiensi Bio-Porta Tank (Bacterial Portable Septic Tank) Terhadap Sanitasi Perumahan di Desa Kubang Jaya Kecamatan Tambang Kabupaten Kampar
This research aims to examine the efficiency of Bio-Porta tanks created by a group of residential communities in Kubang Jaya Village and Alumni of the Engineering Faculty at the University of Riau, comparing it with conventional septic tanks. The study employs a mixed methods approach, which is a combination of quantitative and qualitative techniques. This approach is chosen to provide a more holistic and in-depth understanding of the efficiency of the Bio-Porta Tank in sanitation in Kubang Jaya Village, Tambang District, Kampar Regency. The high groundwater level around the septic tanks in Kubang Jaya Village poses a major challenge. Kubang Jaya Village seeks to address septic waste issues by adopting an innovative solution in the form of the Bioporta Tank. From the research results regarding the efficiency of the Bio-Porta Tank (bacterial portable septic tank) in residential sanitation in Kubang Jaya Village, Tambang District, Kampar Regency, the efficiency of the Bio-Porta is higher compared to conventional septic tanks. This can be observed in terms of cost difference and effectiveness in waste treatment. This difference is reflected in a cost difference of Rp. 1,647,300.
Pemberdayaan Komunitas Sekolah melalui Program SIGAP ( Siswa Sehat, Gizi Aktif, dan Peduli) Berbasis Edugame dalam Pencegahan Obesitas di SD Xaverius 4 Palembang
Childhood obesity is a growing public health problem in Indonesia. This increases the risk of developing non-communicable diseases at an early age. The SIGAP (Healthy, Actively Nutritional, and Caring Students) Community Service Program is an educational initiative aimed at improving nutritional literacy and strengthening the role of the school community in preventing childhood obesity. This activity was conducted at Xaverius 4 Elementary School, Palembang, involving 62 students, 15 teachers, and 8 parents (members of the school committee). The implementation method includes the preparation of the SIGAP module as an activity guide, education to students about balanced nutrition and obesity prevention in children packaged with educational games namely Puzzle Isi Piringku, Detektor Makanan and Senam SIGAP as well as the formation of Duta SIGAP as peer educators in schools. Workshops for parents and teachers focused on increasing understanding about obesity prevention in children, a shared commitment to creating a healthy school environment and supporting healthy living behaviors at home and at school. Evaluation was carried out through pre-test and post-test questionnaires in the domains of knowledge, attitudes and behavior. The results showed an increase in students' knowledge, attitudes, and behaviors regarding balanced nutrition and physical activity, the formation of SIGAP Ambassadors, and the strengthening of collaboration between teachers and parents to maintain healthy and balanced eating habits and physical activity. The SIGAP program demonstrated that a participatory approach based on educational games is effective in fostering a healthy lifestyle and supporting obesity prevention in children.
Hubungan Durasi Duduk dengan Keluhan Low Back Pain pada Pegawai BNI KCU Metro Provinsi Lampung
The purpose of this study was to identify the correlation between the duration of sitting and the intensity of lower back pain (Low Back Pain) complaints among employees of BNI KCU Metro, Lampung Province. Low Back Pain is one of the most common musculoskeletal conditions and can be triggered by prolonged sitting, which increases static load and pressure on the spine. This research employed an analytical observational method with a cross-sectional approach. The study sample consisted of 51 employees selected using a total sampling technique. Data were collected using a sitting duration questionnaire and the Nordic Musculoskeletal Questionnaire (NMQ) to assess LBP complaints. The results showed that the majority of employees sat for more than 4 hours per day (86.3%) and experienced LBP complaints (94.3%). The Chi-Square test indicated a significant relationship between sitting duration and LBP complaints (p = 0.001). It can be concluded that the longer a person sits, the higher the likelihood of experiencing LBP, highlighting the need for ergonomic posture application and regular muscle stretching during work.
Hubungan Dukungan Keluarga dengan Konsep Diri Pasien Stroke di Rumah Sakit Santa Elisabeth Medan Tahun 2024
Stroke is a neurological condition characterized by sudden focal injury to the central nervous system due to cerebral infarction, intracerebral hemorrhage, or subarachnoid hemorrhage. In addition to the physical impact, stroke patients also experience psychological changes in the form of limited movement, communication, and thinking skills that can interfere with role functions and reduce self-esteem. This decrease in self-esteem has the potential to cause self-concept disorders, so family support is an important factor in helping patients accept the condition and maintain hope. This study aims to analyze the relationship between family support and self-concept in stroke patients at Santa Elisabeth Hospital Medan in 2024. The study used a quantitative design with a cross sectional approach and involved 42 respondents who were selected through a total sampling technique. Data collection was carried out using family support questionnaires and self-concept questionnaires. The results showed that most of the respondents had high-category family support (64.3%) and positive self-concept (83.3%). The Spearman Rank statistical test showed a significant relationship between family support and self-concept (p = 0.001) with a correlation coefficient value of 0.552 indicating a positive relationship with very strong strength. This study emphasizes the importance of family support in helping stroke patients accept changes in body functions and build a more adaptive self-concept.
Program DAMKAR (Pendampingan Penanganan Luka Bakar) Bagi Orang Tua yang Memiliki Anak Berkebutuhan Khusus
Introduction: Children with Special Needs (CSN) often have sensory and motor limitations, which increase their risk of experiencing household accidents, including burn injuries. Parents caring for CSN frequently lack adequate knowledge and skills in initial burn management, which can potentially worsen the child's condition and impede the healing process. This DAMKAR (Burn Injury Management Assistance) Program aims to enhance the competence of CSN parents at the Special School (SLB Kinarsih), located at Jl. Husein Hamzah Gg. Bhineka No. 27A, in providing prompt and appropriate first aid for burn injuries.Methodology: This community service activity (PkM) was implemented using the Participatory Action Research (PAR) approach, which emphasizes active collaboration among the implementation team, the target partner SLB Kinarsih, and the participants (parents, teachers, and caregivers of CSN). The implementation consisted of 5 stages: Preparation and Assessment (Weeks 1 to 3), Socialization and Education (Weeks 4 to 6), Practical Training and Simulation (Weeks 7 to 9), Implementation and Monitoring (Weeks 10 to 11), and Evaluation and Reporting (Week 12). Results: A significant increase was observed in the parents' average knowledge score, rising from 59.5 to 88.89. Furthermore, more than 90% of participants were able to correctly demonstrate the techniques for burn management and dressing during the simulation. This enhancement in skills provided greater confidence to the parents in handling burn emergency situations. Conclusion: The DAMKAR Program successfully improved the knowledge and practical skills of CSN parents in initial burn management. This program is recommended to be integrated as a routine module in CSN care training to minimize the risk of complications and enhance the quality of life for the child and family.
Pengaruh Edukasi pada Siswa SMA Kelas X di Sekolah SMA Negeri 2 Jakarta tentang Faktor Risiko dan Pencegahan Diabetes Melitus Tipe 2
The lack of adolescent awareness about T2DM risk factors and prevention necessitates educational interventions. Health education plays a crucial role in transforming complex information into structured and comprehensible knowledge, enabling students to integrate new concepts with existing understanding for more comprehensive comprehension. This study aims to examine the knowledge level of 10th-grade students at SMA Negeri 2 Jakarta regarding T2DM risk factors and prevention before and after educational intervention, as well as to assess the intervention's effectiveness. The research employs an analytical-experimental design with a pre-test and post-test approach involving 75 respondents selected through convenience sampling. Primary data was collected directly from respondents, including personal identification information and evaluation results from pre-test and post-test questionnaires on T2DM educational material. The study has obtained necessary permits and ethical clearance. Data analysis was conducted using the Wilcoxon test in SPSS. Results demonstrate significant knowledge improvement, with average scores increasing from 45.58 (74.7% in poor category) in the pre-test to 79.35 (61.3% in good category) in the post-test. Statistical analysis revealed a significant difference (p < 0.0001) with a mean score difference of 33.77 points. The study concludes that health education effectively and significantly enhances students' knowledge about T2DM risk factors and prevention.