Journal Karya Kesehatan Siwalima Abbreviation KKS Publication Frequency 2 Issues per Year (March and September) ISSN 2828-8181 (Online) 2828-8408 (Cetak) DOI Prefix 10.54639 Editor in Chief Fandro Armando Tasijawa (Scopus ID: 57286855300) Managing Editor Devita Madiuw (Scopus ID: <a href="https://www.scopus.com/results/authorNamesList.uri?sort=count-f&src=al&sid=3d91c980b984b6fd0466490807e9fb9d&sot=al&sdt=al&sl=20&s=AUTHLASTNAME%28madiuw%29&st1=madiuw&orcidId=&selectionPageSearch=anl&reselectAuthor=false&activeFlag=true&showDocument=false&resultsPerPage=20&offset=1&jtp=false&currentPage=1&previousSelectionCount=0&tooManySelections=false&previousResultCount=0&authSubject=LFSC&authSubject=HLSC&authSubject=PHSC&authSubject=SOSC&exactAuthorSearch=false&showFullList=false&authorPreferredName=&origin=searchauthorfreelookup&affiliationId=&txGid=8631b0bff6a05e32d991166cbfc85b73">57255850900) Publisher Lembaga Penerbitan Fakultas Kesehatan, Universitas Kristen Indonesia Maluku Karya Kesehatan Siwalima is a journal managed by the Faculty of Health, Universitas Kristen Indonesia Maluku. Karya Kesehatan Siwalima publishes articles resulting from Community Service activities or research projects. The themes of community service and research may originate from work programs (such as health education, counseling, and socialization), the impact of a development program or innovation, survey results, and experiments in the field of health. Karya Kesehatan Siwalima is currently accredited as a Sinta 5 journal, based on the Decree of the Directorate General of Research and Development Kemdikti-Saintek Number 10/C/C3/DT.05.00/2025.
Lembaga Penerbitan Fakultas Kesehatan, Universitas Kristen Indonesia Maluku
The Improvement of Elderly Health through the Utilization of Posyandu at Rumberu Public Health Center
Elderly individuals are characterized by a decline in biological functions, which can manifest through physical symptoms, including reduced cognitive abilities. Therefore, accessible healthcare facilities are essential to provide routine health examinations for older adults. The utilization of the Elderly Posyandu (Integrated Health Post) at Rumberu Public Health Center remains notably low, influenced by various factors. The aim of this community service activity was to provide education and guidance on the importance of the Elderly Posyandu and its utilization at Rumberu Public Health Center. The findings indicate that many elderly individuals have not yet accessed the Elderly Posyandu, and available facilities remain limited. Strengthened collaboration among health cadres and the provision of adequate facilities are expected to enhance the utilization of Elderly Posyandu services at Rumberu Public Health Center.
Copyright (c) 2025 Magdalena Paunno, Yohana Djurumana, Clara Titarsole
An Overview of Electronic Medical Record Completeness in the Management of Fracture Patients
Medical records are comprehensive documents that provide detailed information throughout a patient’s hospitalization. The quality of a medical record is determined by its accuracy, completeness, validity, and timeliness. This study aimed to evaluate the completeness of electronic medical records for fracture patients at Santa Elisabeth Hospital, Medan. Samples were selected using simple random sampling and Slovin’s formula. Data analysis focused on patient identity sheets, anamnesis, informed consent forms, and medical resumes. The review of medical record completeness from January to December 2024 revealed 100% completeness for patient identity sheets, 90.8% for anamnesis, and 98.7% for medical resumes. In contrast, informed consent forms had a notably low completeness rate of only 19.7%, particularly in sections requiring patient or family signatures and administrative authorization. These findings highlight the need for targeted improvements, especially in completing informed consent forms, to meet the standards for optimal medical record quality.
Copyright (c) 2025 Arjuna Ginting, Jey Boris, Angelia Pasaribu
The Relationship Between Sedentary Lifestyle and the Risk of Type 2 Diabetes Mellitus in Generation Z
Approximately 90% of diabetes cases in Indonesia are classified as type 2 diabetes mellitus (T2DM). In Indonesia, particularly among Generation Z, sedentary lifestyles are becoming increasingly prevalent. The primary aim of this study was to examine the association between sedentary lifestyle and the risk of type 2 diabetes mellitus among Generation Z. A cross-sectional design was employed, with 135 respondents selected through purposive sampling. The study participants were undergraduate students from the 2023 cohort of the Accounting Study Program, Faculty of Economics, University of West Sulawesi. Data were collected using the Adolescent Sedentary Activity Questionnaire (ASAQ) and the Finnish Diabetes Risk Score (FINDRISC). The findings revealed that 101 respondents (74.8%) demonstrated a high sedentary lifestyle, while 5 respondents (3.7%) exhibited a high risk of developing type 2 diabetes mellitus. Results from the Chi-square test indicated a p-value of 0.861, which is greater than ? = 0.05, suggesting that there is no significant relationship between sedentary lifestyle and the risk of type 2 diabetes mellitus in Generation Z. In conclusion, this study found no significant association between sedentary lifestyle and the risk of type 2 diabetes mellitus among Generation Z.
Copyright (c) 2025 Nurdina Dina, Kurnia Harli, Irfan Wabula
The Marmet Technique as an Effort to Improve Breast Milk Production in Postpartum Mothers
The Marmet technique, which combines breast expression and massage, is designed to stimulate the breast milk ejection reflex. This method is believed to enhance the smooth flow of breast milk in postpartum mothers, but requires scientific validation. This study aimed to examine the effect of the Marmet technique on breastfeeding smoothness among postpartum mothers in the working area of the Watunohu Health Center, North Kolaka Regency. A quasi-experimental design with a two-group post-test only approach was employed. The study involved 32 postpartum mothers, divided into an intervention group (n=16) and a control group (n=16) through purposive sampling. The intervention group received the Marmet technique according to standard operating procedures (SOP), while the control group did not receive any treatment. Breastfeeding smoothness was assessed using a questionnaire covering eight indicators. Data were analyzed with the Mann-Whitney test, with a significance level set at p < 0.05. On the fourth day postpartum, exclusive breastfeeding smoothness was achieved in 62.5% of mothers in the intervention group compared to only 18.8% in the control group. The Mann-Whitney test yielded a p-value of 0.017 (<0.05), indicating a statistically significant effect of the Marmet technique. These findings demonstrate that the Marmet technique results in a significant increase in exclusive breastfeeding rates among postpartum mothers. It is recommended that healthcare providers in maternal and child health services adopt this technique as part of routine interventions to promote successful breastfeeding.
Copyright (c) 2025 Astri Yuliandini, Dwi Ghita, Reskiawati Azis, Ani Ani
Analysis of Traders’ Knowledge Level on Formalin Detection in Fresh Fish at Tavip Market Binjai City
Formalin is a prohibited food additive due to its harmful effects on human health. An inspection conducted by the Indonesian Food and Drug Authority (BPOM) in North Sumatra at Tavip Market, Binjai City, found the presence of formalin in several types of fresh fish being sold. The low level of traders’ knowledge regarding the dangers of formalin is believed to be one of the main factors contributing to its use in fresh fish. This study aimed to analyze the association between traders’ knowledge levels and the presence of formalin in fresh fish at Tavip Market, Binjai City. A quantitative approach with a cross-sectional design was employed. The study population consisted of all 32 fresh fish traders at Tavip Market, selected using a total sampling technique. Data were collected through a validated questionnaire to measure traders’ knowledge levels and laboratory testing using the spot test method to detect formalin in fish. Data analysis was conducted using Fisher’s exact test. The results revealed a significant association between traders’ knowledge levels and the presence of formalin in fresh fish (p-value = 0.021). Low knowledge levels were found to increase the risk of formalin use in fresh fish. Continuous education and intensive supervision by relevant authorities are necessary to reduce the circulation of formalin-contaminated fish in traditional markets.
Copyright (c) 2025 Adinda Azima Riskiya Sibarani, Yulia Khairina Ashar
Cerdik: Screening for Non-Communicable Disease at The Amaory Landfill, Passo Benteng Karang Village
Non-communicable diseases (NCDs) pose a significant global health challenge. Diabetes mellitus (DM) and hyperuricemia are among the most prevalent non-communicable diseases in Indonesia. Screening is a process to identify both pre- and post-diseases. The purpose of this community service is to detect non-communicable diseases early through blood glucose and hyperuricemia tests. The results of this screening activity indicate that some individuals still have abnormal blood glucose and uric acid levels. This screening is expected to facilitate the early detection of diabetes mellitus (DM) and hyperuricemia, enabling timely treatment and contributing to a healthier and more productive society.
Copyright (c) 2025 Pollan Versilia Wuritimur, Minnalia Soakakone
Improving Nutritional Awareness Through Food Label Reading Education among School-Age Children
The nutritional status of school-age children is a crucial determinant of their health, growth, and academic performance. However, low nutrition literacy and frequent consumption of packaged foods high in sugar, salt, and fat pose significant challenges. This community service program aimed to improve students’ nutritional awareness through food label reading education at SD YPPK Waenibe (YPPK Waenibe Elementary School). The program employed health education sessions on balanced nutrition and interactive practice in reading food labels, including demonstrations of sugar and salt content. Evaluation was conducted using pre-test and post-test assessments among 19 students. Results showed a significant improvement in knowledge, with the mean score increasing from 68.37 (pre-test) to 80.11 (post-test). Most students shifted from the “fair” to the “good” knowledge category. These findings confirm that simple, practice-based educational interventions can effectively enhance nutrition literacy among school-age children. Moreover, the program has the potential to empower students as change agents in both school and family contexts. Nevertheless, this initiative was limited to a single intervention and lacked parental involvement. It is recommended that future programs be integrated into school curricula and involve parents to strengthen children’s healthy consumption behaviors.
Copyright (c) 2025 Joan Herly Herwawan, Fandro Armando Tasijawa, Lea Mediatrix Y Janwarin, Hery Jotlely, Maria Nindatu
First Aid for Wounds: Health Education for Elementary School Students
Minor injuries such as abrasions and lacerations are common among elementary school students, particularly due to play activities, while limited knowledge and skills in first aid may increase the risk of infection and wound-related complications. This community service program aimed to enhance students’ understanding and practical skills in managing minor injuries through structured health education on first aid for wounds. The activity was conducted at SDN 21 Pekanbaru with 18 students as participants. The program included interactive lectures, practical demonstrations of wound care, and the use of audiovisual media as learning tools. Data were collected using pre-test and post-test questionnaires to measure knowledge improvement in minor wound first aid, complemented by direct observation to evaluate first aid skills. Results showed a significant knowledge gain, with mean scores increasing from 76.67 before the intervention to 100 after the session. Similarly, observational scores of first aid skills rose markedly from 32.78 to 100, reflecting substantial competency gains following the educational program. These findings confirm that combining lectures, demonstrations, and audiovisual support is an effective strategy to promote both cognitive and psychomotor domains of learning in elementary students. The program not only improved students’ ability to respond to minor injuries and fostered health literacy applicable in daily life, but also highlights the need for future school-based initiatives in collaboration with Public Health Centers (Puskesmas) to provide first aid training for students and teachers, thereby enhancing preparedness, strengthening competencies, and promoting a sustainable culture of safety and health in schools
Copyright (c) 2025 T. Abdur Rasyid, Defi Eka Kartika, Rani Lisa Indra, Bayu Saputra, Sandra Sandra, Dwi Wulandari
The Effect of Student-Centered Learning with the Make a Match Method on Nursing Students’ Knowledge of Patient Safety Goals
Understanding nursing students’ knowledge of the six patient safety goals is essential to prevent adverse events. Innovative and interactive learning strategies are needed to strengthen students’ comprehension of these goals. The make-a-match method, as a cooperative learning approach, encourages active engagement and is expected to enhance knowledge retention. This study aimed to examine the effect of patient safety goals education on the knowledge of undergraduate nursing students using the make-a-match method. A pre-experimental one-group pretest–posttest design was conducted with 69 undergraduate nursing students selected through purposive sampling. Data were collected using a structured patient safety goals knowledge questionnaire. The Wilcoxon signed-rank test was applied to analyze the differences between pretest and posttest scores, with a significance level of 0.05. Prior to the intervention, most participants demonstrated a moderate level of knowledge (63.8%). Following the intervention, the majority of students achieved a good level of knowledge (91.3%). Statistical analysis using the Wilcoxon test revealed a significant improvement in knowledge scores (p = 0.001, p < 0.05). The findings indicate that education using the make-a-match method is effective in improving nursing students’ knowledge of patient safety goals. This method may serve as a valuable learning strategy in nursing education to strengthen patient safety competencies.
Copyright (c) 2025 Yunita Fitri Rejeki, Deris Riandi Setiawan, Adinda Triani Nur Hasanah
Education on Healthy Household Practices in Efforts to Prevent Stunting : Case Study in Sidomulyo Village, Tanjungpinang
Clean and healthy living behaviours (PHBS) are habits practised by individuals or families that enable them to take independent action on health issues and play an active role in health initiatives both within the family and in the community. PHBS can start with oneself and one's family through clean and healthy habits in daily life. The implementation of PHBS is also an important step in preventing various diseases in children, especially diseases that are difficult to prevent, one of which is stunting. The target audience for this outreach programme was housewives in Kampung Sidomulyo RT 002/RW 13. The outreach programme was conducted through presentations and discussions. Before the outreach programme was implemented, a pre-test questionnaire was administered to determine the level of knowledge about PHBS related to stunting. Then, outreach material on household PHBS and clean water was provided. Following the presentation of the material, a discussion session and post-test were conducted to assess the level of understanding of the material provided. The results of the respondents' knowledge before the PHBS counselling (pre-test) were 5.12%, and the results of the respondents' knowledge after the PHBS counselling (post-test) were 5.94%. Socialisation of PHBS to housewives has been proven to increase their knowledge about the importance of implementing clean and healthy living behaviours in the household environment. This increased understanding plays an important role in encouraging the adoption of daily healthy habits, which not only maintain family hygiene and health, but also serve as a strategic step in preventing stunting in children. With better knowledge, housewives can play an active role as the main drivers of family and community health.
Copyright (c) 2025 Indra Martias, Luh Pitriyanti, Risman Kurnia, Rinaldi Daswito, Hevi Horiza, Suci Yuliana Pratiwi
Early Health Detection among Housewives to Enhance Family Health and Well-Being
Early detection of non-communicable diseases (NCDs) is a strategic effort to raise public health awareness, especially among housewives who play a central role in maintaining family welfare. This community service activity aims to conduct basic health screenings, including blood pressure measurements, blood glucose levels, and Body Mass Index (BMI) assessments, among housewives participating in the Enhancing Women's Roles Towards Healthy and Prosperous Families (P2WKSS) program in Haurgeulis Village, Haurgeulis Subdistrict, Indramayu Regency. The activity was conducted through simple health examinations followed by discussions and education on healthy lifestyles. The results of the examination of 60 participants showed that the majority of respondents were in the pre-hypertension to hypertension category (87%), (25%) were in the pre-diabetes to diabetes category, and (63%) were overweight to obese. These findings indicate a high risk factor for NCDs among housewives in the area. This early detection program not only provides an initial overview of the community's health condition but also serves as a means of education and empowerment for housewives to be more concerned about their own health and that of their families. Thus, this activity supports the achievement of the Sustainable Development Goals (SDGs), particularly the third goal on good health and well-being, and the fifth goal on gender equality through empowerment.
Copyright (c) 2025 Alvian Pristy Windiramadhan, Rd. Gita Mujahidah, Dewi Eka Stia Murni
Balanced Nutrition Education for Women in the P2WKSS Program in Haurgeulis Village, Indramayu
The Program for Increasing the Role of Women Towards Healthy and Prosperous Families (P2WKSS) is one of the government's efforts to improve the quality of family life through women's empowerment. Women have a very important role in providing food and family health, so women ideally have good knowledge about balanced nutrition. The aim of this Community Service Activity is to provide education about balanced nutrition for women in the Women's Role Enhancement Program Towards a Healthy and Prosperous Family (P2WKSS) in Haurgeulis Village, Indramayu. The method for community service includes three stages, namely: the stage of analyzing the partner's situation and condition, the education stage and the evaluation stage. The results of this community service activity are an increase in knowledge about balanced nutrition for women in the Program for Increasing the Role of Women Towards Healthy and Prosperous Families (P2WKSS) in Haurgeulis Village, Indramayu, This program significantly improved women’s knowledge on balanced nutrition.
Copyright (c) 2025 Dedeh Husnaniyah, Riyanto Riyanto, Irda Novrida Ashar
Analysis of Antenatal Care Implementation in Reducing Maternal and Infant Mortality Rates at Community Health Center in Medan City
One of the primary targets of the Sustainable Development Goals (SDGs) 2030 and a key indicator of national development success is the reduction of maternal mortality (MMR). Because maternal health significantly influences the health of the next generation, antenatal care services are utilized to reduce MMR. The purpose of this study was to explore the inputs, processes, and outputs of antenatal care services provided by Community Health Centers (Puskesmas) in Medan City. A qualitative descriptive phenomenological method was employed, generating descriptive data. The study involved two main informants, one key informant, and five triangulation informants. Data were collected through in-depth interviews. The findings revealed that a high level of community preference for specialist services contributed to many cases of maternal and infant mortality as well as a decline in antenatal care visits at Puskesmas. In addition, the study identified the limited effectiveness of ultrasound examinations, which were only conducted once a week. Complaints from patients also emerged regarding the health workers’ approach, particularly their responsiveness, focus, and attentiveness, which led many patients to prefer specialists over Puskesmas services. Based on these findings, it is recommended that Puskesmas in Medan City address the issue of overlapping workloads, improve the standardization of supporting facilities, and increase the frequency of ultrasound examinations to twice per week.
Copyright (c) 2025 Cut Nasywa Kesuma Dany, Rapotan Hasibuan
The Role of Adolescents in Preventing Stunting and Early Marriage at Tomohon City
Adolescents are the next generation who are currently in an important transitional stage toward adulthood. At this phase, they are highly vulnerable to various influences, including a lack of knowledge about reproductive health, the risk of stunting, and the impacts of early marriage. In response to these conditions, a community service activity was conducted at the Auditorium of STIKes Gunung Maria Tomohon, Tomohon City, with the aim of providing health education to students so that they can better understand the importance of adolescents’ role in preventing stunting and the negative impacts of early marriage. The program was carried out in three stages: planning in collaboration with the BKKBN team and the school, delivering interactive health education using engaging media, and evaluation through a question-and-answer session. A total of 164 students enthusiastically participated in the activity, and the discussion results revealed that reproductive health and early marriage were their primary concerns. It is expected that through continuous education, adolescents will be able to make wiser decisions for their future and contribute to stunting prevention within their communities. Programs like this are essential to be held regularly and to reach more schools.
Copyright (c) 2025 Mareyke Yolanda Lusia Sepang, Henny Pongantung, Kansia Anastasia Terok, Vina Putri Patandung
The Relationship Between Cybervictimization and Anxiety Among Nursing Students at STIKES Dharma Husada
Cybervictimization is a form of violence or harassment conducted online, which can negatively affect psychological well-being, including increasing the risk of anxiety. Cybervictimization is particularly prevalent among late adolescents and young adults, as these age groups frequently use social media as a primary means of daily interaction. This study aimed to examine the association between cybervictimization and anxiety levels among nursing students at STIKes Dharma Husada. A quantitative method with a correlational design and a cross-sectional approach was employed. The study sample consisted of 76 respondents. The research instruments included the Cybervictimization Scale (CYBVICS) and the Generalized Anxiety Disorder-7 (GAD-7). Data were analyzed using Spearman’s rank correlation test. The findings showed that half of the respondents experienced moderate levels of cybervictimization (50.0%), and most reported severe anxiety (56.6%). The correlation analysis revealed a significant association between cybervictimization and anxiety, with a p-value of 0.001 and a correlation coefficient of 0.449, indicating a moderate positive relationship. In conclusion, the higher the level of cybervictimization experienced, the higher the level of anxiety among students. Based on these findings, it is recommended that educational institutions and students increase efforts to prevent and manage the psychological impacts of digital violence.
Copyright (c) 2025 Vena Annisa Rudianty, Mia Dwi Ambarwaty, Emma Aprilia Hastuti, Indah Mentari Siagian
The Triple Burden Phenomenon and Eating Behaviors of Generation Z: A Phenomenological Study Among Health Science Students
The digital revolution has reshaped the consumption patterns of Generation Z and contributed to the triple burden of malnutrition, including overeating, which has become a growing concern among university students. This study examines the triple burden phenomenon in relation to the eating behaviors of Generation Z at the Faculty of Public Health, State Islamic University of North Sumatra. This qualitative phenomenological research involved 10 students. Data were collected through in-depth interviews and observations, triangulated using a 3×24-hour food recall, and analyzed using the Miles and Huberman model. Calorie requirement calculations based on Body Mass Index (BMI) criteria showed that seven participants exceeded their daily caloric needs, consuming an average of 2,102 calories per day—above the normal requirement. Social media food simulacra triggered visual cravings in eight participants, while mukbang content increased appetite by two to three times. Seven participants demonstrated low self-efficacy in controlling portion sizes. Eating patterns shifted from conventional meal structures to a grazing pattern (6–8 times per day), with fifty-eight percent of eating episodes consisting of snacking, indicating overnutrition within the triple burden context. Social media simulacra and low self-efficacy significantly influenced overeating among Generation Z, even among individuals with adequate nutritional knowledge. Social media creates a hyperreality that encourages consumption beyond biological needs, contributing to the complexity of the triple burden of malnutrition in the digital era. Strengthening digital literacy and self-efficacy is recommended to address the triple burden among Generation Z
Copyright (c) 2025 Lutfiah Ramadhani, Nadya Ulfa Tanjung
The Relationship Between HIV/AIDS Knowledge and Dating Behavior Among Senior High School Students
The WHO reported that approximately 39.0 million people were living with HIV at the end of 2022, with 1.3 million new infections and 630,000 deaths due to HIV-related illnesses in the same year. One of the factors contributing to risky dating behavior among adolescents is a lack of knowledge about HIV/AIDS, leading to limited understanding of its consequences. This study aimed to analyze the relationship between HIV/AIDS knowledge and dating behavior among eleventh-grade students. A quantitative descriptive correlational method with a cross-sectional approach was used. The sample consisted of 70 respondents selected through purposive sampling. The research instruments included the HIV-KQ-18 questionnaire and the SBQ, both of which have been tested for validity and reliability. The results showed that 17.1% of respondents had low knowledge levels, while 18.6% engaged in risky dating behaviors. The Spearman’s rho test indicated a significant relationship between HIV/AIDS knowledge and dating behavior (p = 0.000; r = 0.697). Thus, there is a strong and positive relationship between HIV/AIDS knowledge and adolescent dating behavior. These findings imply the need for structured reproductive health education programs in secondary schools, such as regular counseling sessions and integration of HIV/AIDS content into the curriculum, to reduce risky dating behaviors among adolescents.
Copyright (c) 2025 Mia Listia, Putri Tresna
The Role of Clinical Instructors in Guiding Nursing Students during Clinical Practice at Gunung Maria Hospital
Nursing education requires the integration of theory and practice; therefore, clinical mentoring plays an essential role in shaping students’ competencies. Clinical Instructors serve as educators, caregivers, and role models who directly influence the success of clinical learning. This study aims to identify and analyze the role of Clinical Instructors in implementing clinical mentoring for students at Gunung Maria Hospital, Tomohon. The study employed an analytical observational design with a cross-sectional approach, involving all Clinical Instructors who met the inclusion criteria through a total sampling technique. The instrument used was a questionnaire that had been tested for validity and reliability prior to administration. Data were analyzed univariately using frequency distributions. The results indicated that the majority of respondents rated the role of Clinical Instructors as good (70%), while 24% rated it as adequate and 6% as poor. Strong performance was particularly evident in educational roles, motivational support, and professional role-modeling for students. However, several limitations were identified, including limited interaction intensity, inconsistent feedback, and restricted mentoring time due to workload demands. In conclusion, the role of Clinical Instructors has generally been implemented effectively and contributes positively to the development of nursing students’ competencies, although improvements are still needed in consistency and mentoring strategies. The study recommends continuous training for Clinical Instructors on effective clinical mentoring approaches, institutional policies to optimize the instructor–student ratio, and strengthened collaboration between hospitals and educational institutions to enhance the overall quality of clinical learning.
Copyright (c) 2025 Pricilia Maria Toreh, Maria Novita Ria
The Relationship Between Climate Factors and Leptospirosis Incidence in Central Java in 2019-2023
Each year, more than 500,000 cases of Leptospirosis are reported worldwide. This disease is spread globally, especially in humid tropical countries like Indonesia. Based on the 2023 Indonesian Health Profile, there were 2,554 cases with a CFR of 8%, and Central Java ranked second (884 cases). This study aims to determine the relationship between climate factors and the incidence of Leptospirosis in Central Java in 2019–2023. The study used a quantitative approach with an ecological study design. The sample includes data on Leptospirosis incidence, air temperature, humidity, rainfall, and sunshine duration for 60 months. This study utilized secondary data sourced from the Central Java Provincial Health Office, accessed through the Central Java PPID website, for Leptospirosis case data and the BMKG website for Climate data. Data processing was carried out using the Spearman rho correlation test method. The results are the relationship between air temperature and leptospirosis incidence (p=0.053; r=-0.251), the relationship between humidity and leptospirosis incidence (p=0.000; r=0.546), the relationship between rainfall and leptospirosis incidence (p=0.022; r=0.295), and the relationship between the duration of sunlight and leptospirosis incidence (p=0.002; r=-0.383). It was concluded that humidity, rainfall, and duration of sunlight were significantly related to leptospirosis incidence, while temperature was not. It is recommended that the government strengthen vector control, especially during the rainy season, that the community maintain personal and environmental hygiene, and that further research use a wider time and area coverage with more complex methods.
Copyright (c) 2025 Amalia Rahmi Nasution, Yulia Khairina Ashar
Smart Talk About Cervical and Breast Cancer in Women of Reproductive Age
Background: Cervical cancer and breast cancer are two leading causes of cancer-related mortality among women in Indonesia. Low levels of knowledge and awareness in the community, particularly among Women of Reproductive Age (WRA), regarding early detection remain a serious challenge in cancer prevention and management. Objective: This activity aims to improve WRA’s knowledge and awareness of the importance of early detection of cervical and breast cancer through a community-based educational approach. Method: This community service program employed a pre-experimental one-group pre-test and post-test design. The intervention was carried out through education using the peer group method, educational video screening, and discussion sessions with cancer survivors. Data were collected using pre-test and post-test questionnaires and analyzed descriptively. Results: Prior to the educational intervention, the majority of respondents (52.3%) had low levels of knowledge. After the intervention, a significant improvement was observed: respondents with good knowledge increased to 47.7%, while those with poor knowledge decreased to 11.4%. Conclusion: Peer group- and video-based educational activities proved effective in enhancing WRA’s knowledge and awareness regarding the importance of early cancer detection. This educational model is recommended for broader implementation as a promotive and preventive strategy in women’s cancer prevention.
Copyright (c) 2025 Donny Richard Mataputun, irman Irman, Mia Atlantic
Herbal-Based Community Training For Hypertension Prevention Using TENSITEA
Hypertension remains one of the most prevalent non-communicable diseases worldwide and is increasingly becoming a health burden in Indonesian communities. Limited knowledge about hypertension and the lack of access to preventive strategies contribute to its high incidence in rural areas. This community empowerment program was conducted to improve public understanding of hypertension and to provide practical training on the production of a herbal tea formulation, known as Tensi Tea, using locally available ingredients such as breadfruit leaves, bay leaves, and cinnamon. The activity took place in Mandalawangi Village and involved community members, local health cadres, and students. The program was implemented in several stages, including educational sessions on hypertension prevention, interactive discussions, and hands-on training in harvesting, processing, and packaging herbal ingredients into tea bags. Participants were actively engaged, demonstrated high enthusiasm, and were able to produce the herbal tea product independently by the end of the training. The results showed an increase in community knowledge regarding risk factors and prevention of hypertension, as well as enhanced skills in producing a simple herbal preparation that has the potential to support both health promotion and local economic opportunities. In conclusion, education on hypertension prevention, accompanied by training on herbal tea, is an effective strategy to empower communities. It is recommended that similar programs be expanded to other rural areas and supported by local health services to ensure sustainability.
Copyright (c) 2025 Vina Juliana Anggraeni, Asep Roni, Siti Saidah Mutmainah, Anne Yuliantini, Deden Indra Dinata
Self-Management as a Determinant in Reducing Gastritis Recurrence: A Chronic Care Model Approach
Gastritis is one of the diseases of the digestive system with a high prevalence of recurrence. Irregular lifestyles, academic stress, and low self-management skills are the main factors that trigger relapse. The Chronic Care Model (CCM) has a conceptual framework in the management of chronic diseases including gastritis. This study aims to analyze factors related to gastritis recurrence based on the CCM approach in nursing students. This study used a cross-sectional quantitative design with a total of 30 respondents in young adulthood. The results showed that most of the respondents (86.7%) experienced a recurrence of gastritis in the last six months. The Fisher's Exact Test showed that the self-management support subscale had a significant relationship with gastritis recurrence (p = 0.048), while the other subscales (delivery system design, decision support, clinical information system, organization of care, and community resources) showed an insignificant association (p > 0.05), but had a strong association in the high score category. The conclusion of this study shows that the higher the student's self-management ability, the lower the risk of gastritis recurrence.
Copyright (c) 2025 Akub Selvia, Sri Puguh K., Candra Hatta, Musa'adah
Improving Knowledge About the Prevention of Acute Respiratory Infections in the Popubawo District of Jayawijaya Regency
Acute Respiratory Infections (ARI) remain a major health problem in the community, especially in the Papua Highlands. The prevalence of ARI among toddlers in Papua is among the highest in Indonesia, partly due to the community's lack of knowledge about ARI prevention and the implementation of Clean and Healthy Living Behaviours (PHBS). This community service activity aims to increase public knowledge about the prevention of respiratory tract infections in Waima Village, Popuoba District, Jayawijaya Regency. The method used is health education through counselling with slides and leaflets, accompanied by discussions and question and answer sessions. The target audience for this activity is the communities of Waima and Popuoba villages. The results of the activity show an increase in the community's understanding of the definition of ISPA, risk factors, modes of transmission, and efforts to prevent ISPA through the implementation of Clean and Healthy Living Behaviours (PHBS). The community showed enthusiasm and active participation during the event. This activity is expected to contribute to changes in public health behaviour, thereby reducing the risk of acute respiratory infections in the region.
Copyright (c) 2025 Yoel Halipoto, Marleona Susana Sawamanay, Rohmani, Katarina Farek Koten, Putri Ariani Kalepao, Emiana Lokobal
Effect of Acupressure Therapy on Low Back Pain among Third-Trimester Pregnant Women
Low back pain during pregnancy is defined as pain occurring in the lumbar region, specifically above the sacrum, which may radiate to the legs and increase the risk of low back pain in subsequent pregnancies. This study aimed to determine the effect of acupressure therapy on low back pain among third-trimester pregnant women at Mitra Sehat Clinic, Pabuaran, in 2025. This study employed a quantitative analytical approach with a pre-experimental one-group pretest–posttest design without a control group. The sampling technique used was purposive sampling, involving 30 pregnant women. Data were collected from primary and secondary sources, and the instrument used was a pain scale measurement. Data were analyzed using a paired t-test. The results showed that before receiving acupressure therapy, 22 participants (73.4%) experienced severe low back pain. After the intervention, 19 participants (63.4%) demonstrated a reduction in pain intensity to a moderate level. In conclusion, acupressure therapy has a significant effect on reducing low back pain among third-trimester pregnant women. Pregnant women are encouraged to maintain their health during pregnancy, participate in maternal health classes, and undergo acupressure therapy twice a week to prevent low back pain.
Copyright (c) 2025 Ermaya Sari Bayu Ningsih, Yuli Erlina, Dina Hartini, Grace Evelyn Malinti