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Behavior of Pregnant Women In Pregnancy Examinations In Manisa Village, Baranti District Thalib, Kiki Uniatri; Yulis, Dian Meiliani; Hariati, Andi; Ambarwati, Eny Retna; Yanti, Penti Dora; Rahmawati, Agustini Liviana Dwi
International Journal of Health Sciences Vol. 1 No. 4 (2023): IJHS : International Journal of Health Sciences
Publisher : Asosiasi Guru dan Dosen Seluruh Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59585/ijhs.v1i4.191

The occurrence of maternal deaths is related to direct causal factors and indirect causes. The direct causes of maternal death in Indonesia are still dominated by factors. by bleeding, eclampsia, and infection, while the indirect factors causing maternal death are because there are still many cases, 3 too late and 4 too late, which are related to access, socio-cultural, educational and economic factors. This research uses a combination method with a sequential explanatory design. The first uses quantitative methods, and the second uses qualitative methods. A quantitative approach is used to identify and explain variables that influence behavior such as knowledge, attitudes, facilities and encouragement of officers. A qualitative approach is used to support and complement quantitative research results. The chi-square test shows that there is a significant relationship between knowledge, facilities and encouragement of health workers on the behavior of pregnant women in pregnancy checks. P value = 0.001. If the significance value is <0.05, it is recognized that there is a statistically significant correlation. Meanwhile, attitudes show no statistical correlation. The logistic regression test shows that there is an influence between knowledge and facilities on the behavior of pregnant women. There are two substantial findings, namely regarding knowledge about antenatal care and the availability of facilities which influence the behavior of pregnant women in antenatal care.

Pendidikan, Pendapatan Kepala Keluarga Dengan Perilaku Hidup Bersih Dan Sehat Eny Retna Ambarwati
Jurnal Ilmu Kebidanan (Journal of Midwivery Science) Vol. 1 No. 1 (2013): Jurnal Ilmu Kebidanan (Journal of Midwifery Science)
Publisher : Jurnal Ilmu Kebidanan (Journal of Midwivery Science)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36307/4012b736

Background: Health is a human right and is a human resource investment, and has contributed greatly to improving the Human Development Index (HDI). Healthy conditions can be achieved by changing unhealthy behaviors to healthy behaviors and creating a healthy environment at home. Efforts to increase healthy behaviors in the household have not indicated an optimal result. In addressing the health problems that occur in families, who make the decisions concerning the solution to the problems is still the family head or the elder family member, it is they who will determine the problems and the needs of the family.Objective: To examine whether there is a relationship between education and income of the family head and the clean and healthy living behaviors in the order of the households in Kwasen village Srimartani Piyungan Bantul.Method: The analytical observational research with design in this research uses cross-sectional approaches. The population of this research was all the family heads who reside in the Kwasen village, Srimartani, Piyungan, Bantul. The sampling technique used was exhaustive sampling method. The analysis employed was univariate analysis using frequency distributions, and bivariate analysis using the chi square (X2).Result: The results of this research indicate a significant relationship between education and incomes of the family heads with PHBS in the order of households in Kwasen village, Srimartani, Piyungan, Bantul. Concerning the education of the family heads, majority of them graduated from junior high school - senior high school which was as many as 164 (46.59%) KKs, and followed by the family heads who did not go to school/ graduated from elementary school which was as many as 128 (36.36%) KKs, while the minority of them who graduated from college was as many as 60 (17.05%) KKs. The majority of the family heads having incomes < UMR (minimum regional wage) were as many as 219 (62.22%) KKs and the minorities having incomes ≥ UMR were as many as 133 (37.78%) KKs. The family heads with healthy PHBS II were as many as 167 (47.40%) KKs followed by as many as 167 (47.40%) KKs of healthy PHBS III, healthy PHBS IV as many as 71 (20.20%) KKs, and minority family heads of healthy PHBS I as many as 2 (0.60%) KKs.Conclusion: There is a relationship between education and income on the clean and healthy living behaviors.Keywords : Education, Income, PHBS

Tingkat Pengetahuan Remaja Tentang Penyiapan Kehidupan Berkeluarga Bagi Remaja (PKBR) Pada PIK-R Dan Non PIK-R Dewi Puspita Sari; Eny Retna Ambarwati; Reni Tri Lestari
Jurnal Ilmu Kebidanan (Journal of Midwivery Science) Vol. 6 No. 1 (2018): Jurnal Ilmu Kebidanan (Journal of Midwifery Science)
Publisher : Jurnal Ilmu Kebidanan (Journal of Midwivery Science)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36307/j4kve389

Background: Adolescents are the future of a nation and ensuring their high capacity is crucial for country development. However, the phenomenon of early marriage is common and is one of the major adolescents’ concernsin Indonesia. Youth Information and Counselling Centre (PIK-R) is a container-managed preparation of family lifeprogram activitiesof, by and for youth to provide information and counseling about PKBR (Preparation of FamilyLife For Adolescents) and other support activities. From the results of a preliminary study in the Purwomartanivillage still many marriages at a young age and the high divorce rate that occurred in the region.Objective: To determine differences in the level of adolescents knowledge about preparation of family life for adolescents at PIK-R and no PIK-R.Methode: This research uses study comparative design with cross sectional approach models. Respondents inthis research is adolescents aged 18-21 years of the total 78 respondents. There is 39 from PIK-R and 39 from noPIK-R. The instrument used in this research is the questionnaire. Bivariate analysis using Man Whitney test.Results: The level of adolescents knowledge about PKBR at PIK-R in good categories were 21 (55.26%), while atno PIK-R in good categories as much as 9 (23.68%). Man Whitney analysis with p-value 0.000 (<0.05).Conclution: There are significant differences in the level of adolescents knowledge about preparation of family lifefor adolescents (PKBR) at PIK-R and no PIK-R.Key Words: Knowledge, adolecents, PKBR, PIK-R

Evaluasi Sistem Pengelolaan Rekam Medis Pasien Rawat Inap Study Kualitatif di RSKIA UMI KHASANAH Tri Ariani; Eny Retna Ambarwati; Wiyadi
Jurnal Ilmu Kebidanan (Journal of Midwivery Science) Vol. 9 No. 3 (2021): Jurnal Ilmu Kebidanan (Journal of Midwifery Science)
Publisher : Jurnal Ilmu Kebidanan (Journal of Midwivery Science)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36307/f1ktpe68

Good management of medical records to support hospital services and useful if the informationcontained therein is complete and accurate. Medical record data is needed in the process of recordingand reporting routine hospitals. The purpose of this research is to treat and manage medical records ofinpatients at RSKIA Umi Khasanah Bantul. descriptive research with a qualitative approach. Researchsubjects Director, medical record personnel, midwives and doctors. Data collection using in-depthinterview techniques supported by documentation. Data analysis technique with reduction,presentation, conclusion. The results of the patient's medical research using a manual system. Medicalrecords are more than 2 x 24 hours because the medical record documents are not completely filled,the storage space is not sufficient, the SOP for medical records is not complete, the length of providingmedical records according to the law is <15 minutes, supervision medical records seen from theassessment indicators. The problem is that there is still a lack of medical record personnel, insufficientinfrastructure.Keywords: Evaluation, Management, Medical Records

SOSIALISASI STRATEGI POLA HIDUP SEHAT UNTUK LANSIA Hasyim, Dadang Muhammad; Asmaret, Desi; Sari, Mena; Ambarwati, Eny Retna; Zakka, Umar
Community Development Journal : Jurnal Pengabdian Masyarakat Vol. 5 No. 4 (2024): Volume 5 No. 4 Tahun 2024
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/cdj.v5i4.32264

Pengabdian masyarakat yang dilakukan di Desa Banjarwangi, Kabupaten Garut, Provinsi Jawa Barat bertujuan untuk meningkatkan kualitas hidup lansia melalui sosialisasi strategi pola hidup sehat. Sosialisasi ini mencakup edukasi tentang pola makan sehat, aktivitas fisik, pengelolaan stres, dan pentingnya pemeriksaan kesehatan rutin. Program ini melibatkan berbagai pihak termasuk pemerintah desa, tenaga medis, mahasiswa, dan masyarakat setempat. Metode pelaksanaan meliputi survei awal, penyusunan materi, dan pelaksanaan sosialisasi melalui ceramah, diskusi, dan demonstrasi praktis. Hasil menunjukkan peningkatan pengetahuan dan kesadaran lansia tentang pentingnya pola hidup sehat, serta perubahan positif dalam perilaku kesehatan mereka. Lansia mulai rutin berolahraga, mengelola stres dengan baik, dan melakukan pemeriksaan kesehatan secara teratur. Panduan praktis yang diberikan juga diterima dengan baik dan digunakan oleh lansia serta keluarganya. Evaluasi dan monitoring berkala memastikan program berjalan efektif dan memberikan dampak nyata. Program ini berhasil membentuk kelompok pendukung pola hidup sehat dan meningkatkan partisipasi masyarakat dalam kegiatan kesehatan. Hasil pengabdian dipublikasikan sebagai model yang dapat diterapkan di daerah lain, dengan harapan dapat meningkatkan kesejahteraan lansia secara lebih luas.

Hubungan Karakteristik Sosiodemografis Dengan Kejadian Depresi Pasca Persalinan Pada Ibu Nifas Ambarwati, Eny Retna; Pratiwi, Kurniasari; , Agnes; , Istichomah; Sinta, Riadinata
Jurnal Kesehatan Madani Medika Vol 16 No 2 (2025): Jurnal Kesehatan Madani Medika
Publisher : Sekolah Tinggi Ilmu Kesehatan Madani Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36569/jmm.v16i2.624

Background: Postpartum depression (PPD) is a common mental health problem among postpartum mothers that adversely affects the well-being of both mother and child. The prevalence of PPD in Indonesia is considerably higher than in many other developing countries. Sociodemographic factors play a crucial role as primary determinants of PPD. However, a local predictive model that simultaneously considers these variables is still lacking. Objective: To examine the association between sociodemographic characteristics (education, income, parity, pregnancy status, and age) and the occurrence of postpartum depression. Methods: This analytical observational study with a cross-sectional design was conducted among 84 postpartum mothers in Indonesia between August 2024 and July 2025. Samples were obtained using accidental sampling. Data were collected using the Edinburgh Postnatal Depression Scale (EPDS). The Chi-square test and bivariate logistic regression were employed for data analysis. Results: Husbands’ income below the regional minimum wage increased the risk of PPD by 13.5 times (95% CI: 3.6–50.7; p<0.001). Low educational level increased the risk by 3.5 times (95% CI: 1.2–10.2; p=0.024), primiparity by 2.7 times (95% CI: 1.0–7.1; p=0.046), and unplanned pregnancy by 10.1 times (95% CI: 2.8–36.4; p<0.001). Maternal age was not significantly associated with PPD (p=0.65). Conclusion: Sociodemographic factors such as low income, low educational attainment, and primiparity are key determinants of postpartum depression. Early detection and interventions targeting social risk factors are essential to reduce the prevalence of PPD.

Prenatal Exercise Using Gym Ball for Mrs. N in the Third Trimester of Pregnancy to Reduce Lower Back Pain at Independent Midwife Practice Anisa Mauliddina Nanik Rahayu; Reni Tri Lestari; Tri Ariani; Eny Retna Ambarwati
International Journal Of Health Science Vol. 5 No. 2 (2025): International Journal of Health
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/ijhs.v5i2.5586

Pregnancy is a physiological condition in which a fetus develops in a woman's uterus. In the third trimester, pregnant women often experience discomfort such as lower back pain due to the enlarged uterus, which causes changes in posture, particularly an enlarged spine (hyperlordosis). Mrs. N is one of the pregnant women who came to PMB Anisa Mauliddina Sleman with complaints of lower back pain in her third trimester. In this case, midwives play a crucial role in helping alleviate discomfort in pregnant women, one of which is through interventions such as prenatal exercises using a gym ball. Objective: To be able to provide prenatal exercise care with a gym ball to Mrs. N during midwifery care during pregnancy at Independent Midwife Practice Anisa Mauliddina. Methode:The type of research method used is descriptive analytic method with a case study approach. This research instrument used the results of examinations, observations or observations of the author, interviews with clients and supporting data listed in the maternal and child health book owned by the client. The results of research on pain on Ny. N after doing senam gymball 10-15 minutes once every 3 days for 3 days it decreased, starting from the first day pain scale 6 to 2 on day 6. There was a decrease in pain intensity after doing pregnancy exercises with a gym ball on Mrs. N, who was pregnant in the third trimester at Independent Midwife Practice Anisa Mauliddina Godean Sleman.

Senam Gym Ball Dalam Asuhan Kebidanan Kehamilan untuk Mengurangi Nyeri Pinggang di PMB Anisa Mauliddina Nanik Rahayu; Reni Tri Lestari; Tri Ariani; Eny Retna Ambarwati
Jurnal Ilmu Kebidanan (Journal of Midwivery Science) Vol. 13 No. 3 (2025): Jurnal Ilmu Kebidanan (Journal of Midwifery Science)
Publisher : Jurnal Ilmu Kebidanan (Journal of Midwivery Science)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36307/kcjakm83

Kehamilan adalah kondisi fisiologis di mana terdapat janin yang berkembang di dalam rahim seorang wanita. Pada trimester III, ibu hamil sering mengalami ketidaknyamanan seperti nyeri pinggang akibat pembesaran rahim yang menyebabkan perubahan postur tubuh, terutama peningkatan tulang belakang (hiperlordosis). Ny. N adalah salah satu ibu hamil yang datang ke PMB Anisa Mauliddina Sleman dengan keluhan nyeri pinggang pada kehamilan trimester III. Dalam hal ini, bidan memiliki peran penting dalam membantu mengurangi ketidaknyamanan ibu hamil, salah satunya melalui intervensi berupa senam hamil menggunakan gym ball. Jenis metode penelitian yang digunakan adalah metode deskriptif analitik dengan pendekatan studi kasus. Instrumen penelitian ini menggunakan hasil pemeriksaan, observasi atau pengamatan penulis, wawancara dengan klien dan data pendukung yang tercantum dalam buku kesehatan ibu dan anak milik klien. Setelah dilakukan senam gym ball selama 10-15 menit sekali setiap 3 hari selama 3 hari, nyeri yang dialami Ny N berkurang, mulai dari skala nyeri 6 pada hari pertama menjadi 2 pada hari ke-5. Sehingga kajian ini menyimpulkan terdapat penurunan intensitas nyeri setelah melakukan latihan senam gym ball pada Ny N, yang sedang hamil trimester III di PMB Anisa Mauliddina. Pregnancy is a physiological condition in which a fetus develops in a woman's uterus. In the third trimester, pregnant women often experience discomfort such as lower back pain due to the en-larged uterus, which causes changes in posture, particularly an enlarged spine (hyperlordosis). Mrs. N is one of the pregnant women who came to PMB Anisa Mauliddina Sleman with complaints of lower back pain in her third trimester. In this case, midwives play a crucial role in helping alleviate discomfort in pregnant women, one of which is through interventions such as prenatal exercises using a gym ball. The type of research method used is descriptive analytic method with a case study approach. This research instrument used the results of examinations, observations or observations of the author, interviews with clients and supporting data listed in the maternal and child health book owned by the client. The results of research on pain on Ny. N after doing senam gymball 10-15 minutes once every 3 days for 3 days it de-creased, starting from the first day pain scale 6 to 2 on day 5. There was a decrease in pain intensity after doing pregnancy exercises with a gym ball on Mrs. N, who was pregnant in the third trimester at In-dependent Midwife Practice Anisa Mauliddina.

Senam Gym Ball Dalam Asuhan Kebidanan Kehamilan untuk Mengurangi Nyeri Pinggang di PMB Anisa Mauliddina Nanik Rahayu; Reni Tri Lestari; Tri Ariani; Eny Retna Ambarwati
Jurnal Ilmu Kebidanan (Journal of Midwivery Science) Vol. 13 No. 3 (2025): Jurnal Ilmu Kebidanan (Journal of Midwifery Science)
Publisher : Jurnal Ilmu Kebidanan (Journal of Midwivery Science)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36307/kcjakm83

Kehamilan adalah kondisi fisiologis di mana terdapat janin yang berkembang di dalam rahim seorang wanita. Pada trimester III, ibu hamil sering mengalami ketidaknyamanan seperti nyeri pinggang akibat pembesaran rahim yang menyebabkan perubahan postur tubuh, terutama peningkatan tulang belakang (hiperlordosis). Ny. N adalah salah satu ibu hamil yang datang ke PMB Anisa Mauliddina Sleman dengan keluhan nyeri pinggang pada kehamilan trimester III. Dalam hal ini, bidan memiliki peran penting dalam membantu mengurangi ketidaknyamanan ibu hamil, salah satunya melalui intervensi berupa senam hamil menggunakan gym ball. Jenis metode penelitian yang digunakan adalah metode deskriptif analitik dengan pendekatan studi kasus. Instrumen penelitian ini menggunakan hasil pemeriksaan, observasi atau pengamatan penulis, wawancara dengan klien dan data pendukung yang tercantum dalam buku kesehatan ibu dan anak milik klien. Setelah dilakukan senam gym ball selama 10-15 menit sekali setiap 3 hari selama 3 hari, nyeri yang dialami Ny N berkurang, mulai dari skala nyeri 6 pada hari pertama menjadi 2 pada hari ke-5. Sehingga kajian ini menyimpulkan terdapat penurunan intensitas nyeri setelah melakukan latihan senam gym ball pada Ny N, yang sedang hamil trimester III di PMB Anisa Mauliddina. Pregnancy is a physiological condition in which a fetus develops in a woman's uterus. In the third trimester, pregnant women often experience discomfort such as lower back pain due to the en-larged uterus, which causes changes in posture, particularly an enlarged spine (hyperlordosis). Mrs. N is one of the pregnant women who came to PMB Anisa Mauliddina Sleman with complaints of lower back pain in her third trimester. In this case, midwives play a crucial role in helping alleviate discomfort in pregnant women, one of which is through interventions such as prenatal exercises using a gym ball. The type of research method used is descriptive analytic method with a case study approach. This research instrument used the results of examinations, observations or observations of the author, interviews with clients and supporting data listed in the maternal and child health book owned by the client. The results of research on pain on Ny. N after doing senam gymball 10-15 minutes once every 3 days for 3 days it de-creased, starting from the first day pain scale 6 to 2 on day 5. There was a decrease in pain intensity after doing pregnancy exercises with a gym ball on Mrs. N, who was pregnant in the third trimester at In-dependent Midwife Practice Anisa Mauliddina.

Optimalisasi pengetahuan pola hidup sehat melalui gerakan masyarakat hidup sehat (GERMAS) Ambarwati, Eny Retna; Lestari, Reni Tri; Brahmana, Ivanna Beru; Andriyani, Widyastuti; Handari, Murgi; Istichomah, Istichomah; Wijayanti, Agnes Erida; Riadinata, Riadinata; Pratiwi, Fika
JOURNAL of Public Health Concerns Vol. 6 No. 1 (2026): JOURNAL of Public Health Concerns
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerja sama dengan: Unit Penelitian dan Pengabdian Kep Akademi Keperawatan Baitul Hikmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/phc.v6i1.2692

Background: Non-communicable diseases (NCDs) remain a major global public health challenge. Each year, approximately 41 million deaths, or nearly three-quarters of all global deaths, are caused by NCDs. Of these, approximately 17 million occur in people under 70 years of age, with the majority of cases (86%) occurring in low- and middle-income countries. This situation demands the strengthening of sustainable promotive and preventive strategies, one of which is through the implementation of the Healthy Living Community Movement.Purpose: Health promotion to increase knowledge, awareness, and community involvement in NCD prevention through the implementation of the Healthy Living Community Movement at the community level.Method: Community service was conducted at the Volleyball Court of RT 03, Sumbergamol Hamlet, Balecatur, Gamping, Sleman, Yogyakarta, involving 97 participants consisting of adolescents, fertile couples, and the elderly. The series of activities included joint physical activities such as healthy walks and exercise, free health check-ups for early detection, and education on the importance of consuming fruits and vegetables as part of a healthy lifestyle.Results: Observations showed an increase in core strength, improved joint and body mobility, participants were able to perform movements with balance and good coordination, and improved respiratory and circulatory systems. Most participants were able to follow the exercise movements correctly. The majority understood the importance of exercise for maintaining endurance and were motivated to develop healthy lifestyle habits consistently and independently.Conclusion: The community service program, focusing on the Healthy Living Community Movement, yielded positive results in increasing community awareness and participation in efforts to consistently and independently maintain and improve health. This activity also increased community knowledge about the importance of regular physical activity and daily consumption of fruits and vegetables for health.Suggestion: Empowerment of health cadres and community leaders, as well as synergy between village governments, health care facilities, educational institutions, and community organizations are expected to be the primary drivers in educating and motivating the public about adopting a healthy lifestyle. It is also hoped that with a shared commitment and strengthened cross-sector collaboration, the implementation of the Healthy Living Community Movement will have a broader and more sustainable impact on improving public health. Keywords: Health promotion; Healthy living community movement; Non-communicable diseases; Prevention Pendahuluan: Penyakit Tidak Menular (PTM) masih menjadi tantangan utama kesehatan masyarakat di tingkat global. Setiap tahun, sekitar 41 juta kematian atau hampir tiga perempat dari total kematian dunia disebabkan oleh PTM. Dari jumlah tersebut, sekitar 17 juta kematian terjadi pada usia kurang dari 70 tahun, dengan sebagian besar kasus (86%) ditemukan di negara berpendapatan rendah dan menengah. Kondisi ini menuntut penguatan strategi promotif dan preventif yang berkesinambungan, salah satunya melalui implementasi gerakan masyarakat hidup sehat (GERMAS).Tujuan: Promosi kesehatan guna meningkatkan pengetahuan, kesadaran, dan keterlibatan masyarakat dalam pencegahan PTM melalui penerapan GERMAS di tingkat komunitas.Metode: Pengabdian kepada masyarakat dilaksanakan di Lapangan Voli RT 03 Dusun Sumbergamol, Balecatur, Gamping, Sleman, Yogyakarta, dengan melibatkan 97 peserta yang terdiri atas remaja, pasangan usia subur, dan lansia. Rangkaian kegiatan meliputi aktivitas fisik bersama berupa jalan sehat dan senam, pemeriksaan kesehatan gratis sebagai langkah deteksi dini, serta penyuluhan mengenai pentingnya konsumsi buah dan sayur sebagai bagian dari pola hidup sehat.Hasil: Berdasarkan pengamatan, menunjukkan terdapat peningkatan kekuatan inti tubuh, peningkatan kemampuan gerak sendi dan tubuh, peserta mampu melakukan gerakan dengan seimbang dan koordinasi yang baik, perbaikan sistem pernapasan dan peredaran darah. Sebagian besar peserta mampu mengikuti gerakan senam dengan benar. Mayoritas peserta memahami pentingnya olahraga untuk menjaga daya tahan tubuh dan termotivasi untuk membangun kebiasaan hidup sehat secara konsisten dan mandiri.Simpulan: Program pengabdian masyarakat dengan fokus pada gerakan masyarakat hidup sehat (GERMAS) memberikan hasil yang positif dalam meningkatkan kesadaran dan partisipasi masyarakat terhadap upaya menjaga dan meningkatkan kesehatan secara konsisten dan mandiri. Kegiatan ini juga meningkatkan pengetahuan masyarakat mengenai pentingnya aktifitas fisik yang teratur dan mengkonsumsi buah dan sayur setiap hari terhadap kesehatan.Saran: Diharapkan, pemberdayaan kader kesehatan, tokoh masyarakat, serta sinergi antara pemerintah desa, fasilitas pelayanan kesehatan, institusi pendidikan, dan organisasi kemasyarakatan sebagai penggerak utama dalam mengedukasi dan memotivasi masyarakat mengenai penerapan pola hidup sehat. Diharapkan juga dengan komitmen bersama dan penguatan kolaborasi lintas sektor, implementasi GERMAS diharapkan mampu memberikan dampak yang lebih luas dan berkelanjutan terhadap peningkatan derajat kesehatan masyarakat.

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