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61	Public Health	ABS-13
The efforts to Improve Dental and Oral Health in Children with Special Needs Through Counseling and Tooth Brushing Demonstration at Lembang Caecielia Makaginsar,a) Meta Maulida Damayanti,b) Yuniarti c) a) Department of Medical Education, Bioethics, Humanities and Islamic Insert, Faculty of Medicine, Universitas Islam Bandung, Bandung, Indonesia b) Pathology Anatomy Department, Faculty of Medicine, Universitas Islam Bandung, Bandung c) Anatomy Department, Faculty of Medicine Universitas Islam Bandung, Bandung Indonesia Abstract The situation analysis conducted together with Sukagalih Special School (SLB) revealed that the need for information regarding dental and oral health is quite high. The problems currently faced by partners related to dental and oral health are the condition of children with special needs who require information that is easy to accept, knowing the health condition of students through examinations, direct demonstrations regarding efforts to improve dental and oral health, and the provision of interactive media in the form of videos on how to maintain dental and oral health. Based on these problems, the solutions and output targets that will be carried out in efforts to improve dental and oral health include examinations, counseling, and demonstrations on how to maintain dental and oral health, as well as the provision of supporting media needed in the form of interactive video media on dental and oral hygiene. The methods that will be used vary from providing interactive materials, demonstrations, showing videos, and practice. At the end of this activity, it is expected that students will be more interested and know how to improve their dental and oral health by watching videos regularly. This community service program generally went smoothly, receiving positive responses from students, parents of students and teachers. The results of the dental and oral health examination obtained data that most students had caries, had plaque, had calculus and had gingivitis. During the activity of providing counseling materials, students followed with good concentration, as evidenced by the question session, almost all students scrambled to answer questions. During the demonstration and implementation of how to brush teeth, all students were able to follow along well. There needs to be socialization and promotion regarding the existence of this PKM program beforehand to the parents of students, so that parents can condition their children so that they are not afraid to come to have their dental and oral health checked. Keywords: Children with special needs, dental and oral health, special schools Share Link | Plain Format | Corresponding Author (Meta Damayanti)

62	Public Health	ABS-28
Evaluation of the Effectiveness of Hybrid Health Education Methods at Baitur Rohman Islamic Boarding School Nurul Romadhona (a), Susan Fitriyana (a), Ayu Prasetia (a), Hendi Suhendi (a), Yogi Zahary (a), Fadhlan Rakha (a), Carina Rizkiana (a), Siti Afdhillah (a), Anytha Yulia (a) (a) Faculty of Medicine, Universitas Islam Bandung Abstract Students and administrators of the Baitur Rohman Islamic Boarding School sometimes practice open defecation. This has an impact on physical and mental health. Health education is an important thing, but it has never been done here. Educational efforts are often hampered by limited accessibility, making it difficult for some of the population to reach conventional health programs. The Baitur Rohman Islamic Boarding School has limited technology availability. This study aims to evaluate the effectiveness of the hybrid education method regarding the relationship between open defecation and mental health at the Baitur Rohman Islamic Boarding School. The research uses a pre-experimental design through a one-group pre-test post-test design approach. The research was carried out at the Baitur Rohman Islamic Boarding School in August 2024. The sampling technique uses total sampling. The measuring tool in this study uses a list of statements about the relationship between open defecation and mental health. The activity consisted of filling out the pre-test, education via Zoom, and post-test. Data analysis uses a paired t-test. Respondents were 55 people. There was an increase in the average score of 0.25 (M value) after the education. The result of the t-test was 1.07 with a p-value of 0.14494 (p > 0.05) which showed that the difference was not statistically significant at the 95% confidence level (p < 0.05). Although there are slight differences, it is not significant enough to conclude that knowledge improvement through hybrid education methods is possible. Research on the effectiveness of hybrid methods is still rare. Keywords: health education, hybrid, open defecation, mental health, Islamic boarding school Share Link | Plain Format | Corresponding Author (Nurul Romadhona)

63	Public Health	ABS-37
Open Defecation Free Community Servives in Pacet District RKince Sakinah, Tryando Bhatara, Bimo Prakasa, Sandy Faisal Medical Faculty Bandung Islamic University Abstract The Community Services (Pengabdian Kepada Masyarakat) is conducted in Cisaat Village, Pangauban Subdistrict, Pacet District. Most of the residents have completed education up to junior high school. Based on surveys and interviews with the residents of Kampung Cisaat, issues related to environmental conditions and cleanliness were identified. In Kampung Cisaat, there are still many practices of disposing of human waste directly into ponds or other water sources without using septic tanks, known as open defecation. This habit becomes a complex problem with many interrelated factors, including low knowledge about hygiene and health, as well as low economic levels among the residents. Regarding these issues, the community service team from FK Unisba has provided education in Kampung Cisaat about cleanliness, sanitation, and waste management to the ^sanitation committee^ to ensure that public sanitation facilities can be used safely and comfortably. The team also formed community working groups to advocate and monitor the implementation of cleanliness and sanitation in their environment, and the team also gathered financial resources and working groups in order to build community septic tank facilities. Keywords: Community services, Open Defecation Free, Pacet Share Link | Plain Format | Corresponding Author (RKince Sakinah)

64	Public Health	ABS-40
Mother^s knowledge about speech development and early intervention Cice Tresnasari (a*), Fajar Awalia Yulianto (a), Sigit Gunarto (b) a) Faculty of Medicine, Jl Tamansari no. 22, Bandung 40116, Indonesia *cice.tresnasari[at]unisba.ac.id b) Al Islam Bandung Hospital, Jl Soekarno Hatta no. 644, Bandung 40286 Abstract Background: Speech and language delays are a condition where a child^s speech ability is lagging behind compared to the average speech ability of children of the same age. This condition causes many parents to take their children to the doctor. During the school years, a child with speech and language delays may experience difficulties writing, reading, and learning. In adulthood problems can arise at work. The initial management of children with speech and language delays is determined by when the parents take their children to a health facility because the child is late in speaking. Parental knowledge about early detection of speech and language delays is important so that children receive early treatment and have wider opportunities to achieve progress in speech development. Research Objectives: This study aims to analyze the relationship between mother^s knowledge and child^s age with speech delays at the initial consultation. Method: This research was an analytical observational study, conducted at the Medical Rehabilitation Polyclinic at Al-Islam Hospital Bandung, Al-Ihsan Regional Hospital, and Muhammadiyah Hospital. The research subjects were parents of child patients who came to the medical rehabilitation polyclinic at the three hospitals with complaints of speech delays. Data was obtained from questionnaires filled out by mothers who took their children for treatment to the Medical Rehabilitation Polyclinic from August to November 2022. Results: Average knowledge score 49.14. The age at which the child with speech delay was first consulted was 27.72 months. The correlation test showed that there was no relationship between knowledge and the child^s age and speech delays at the initial consultation Keywords: speech delay, initial consultation, mother^s knowledge Share Link | Plain Format | Corresponding Author (Cice Tresnasari)

65	Public Health	ABS-43
Healthy Lifestyle Transformation: Peer Educator Training on Obesity Prevention for Students of SMAN1 Padalarang, West Bandung Regency Rizky Suganda Prawiradilaga, Mirasari Putri, Eva Rianti Indrasari, Nisrina Shafa Salsabila Department of Biochemistry, Nutrition and Biomolecular, Faculty of Medicine, Universitas Islam Bandung, Indonesia Abstract The high prevalence of obesity among Indonesian adolescents, especially in West Bandung Regency, is a serious concern in public health efforts. This community service project aims to educate students at SMAN 1 Padalarang on the importance of a healthy lifestyle as an effort to prevent obesity. Through the program ^Transforming Healthy Lifestyle: Peer Educator Training on Obesity Prevention,^ this initiative focuses on increasing knowledge of nutrition, physical activity, and empowering peer educators to disseminate health information. The training was conducted in October 2024, involving 256 tenth-grade students. The methodology consists of several stages: administrative preparation and coordination, a pre-test, counseling on balanced nutrition, the dangers of fast food, the importance of exercise, and communication training for peer educators. Students were then provided with a practical guide in the form of a pocketbook. Evaluation was carried out through post-tests and assessments of students^ communication skills. This program successfully improved students^ understanding of healthy lifestyle habits and encouraged them to become change agents who can positively influence their peers. These results demonstrate the effectiveness of training in reducing obesity risk among adolescents through education and communication skills. Keywords: Adolescents, Balanced Nutrition, Lifestyle, Obesity, Peer Educators Share Link | Plain Format | Corresponding Author (Rizky Suganda Prawiradilaga)

66	Public Health	ABS-44
BUILDING A SUSTAINABLE DRUGS REHABILITATION MODEL: LESSONS FROM A COMPREHENSIVE BLOOD PROFILE STUDY IN REHABILITATION CENTER NATIONAL NARCOTIC BOARD OF INDONESIA Fitri Isnaini1 and Mondastri Krib Sudaryo2 Faculty of Public Health, University of Indonesia, 1st Floor, Building A, UI Depok 16424, Indonesia Abstract Rehabilitation of drug abusers, especially those who also suffer from Human Immunodeficiency Virus (HIV), requires a holistic and sustainable approach. Blood tests (hematology) can provide important information about physical health conditions and help in designing an effective rehabilitation program. Objective: To analyze hematology, blood chemistry and immunoserology profiles in drug abusers with HIV to inform the development of sustainable rehabilitation models. Method: Observational study using secondary data from clients with HIV undergoing rehabilitation at the BNN Rehabilitation Center in 2013-2018. The hematology data then analyzed unilaterally using Excel. Results: 177 respondents (159 men, 12 women) had several hematology, blood chemistry and immunoserology values outside normal limits. The proportion of values outside normal limits is greater in the results of hemoglobin, 1 hour ESR, and Hematocrit, also The Anti-HCV test has a greater percentage of reactivity. Its suggests a potential inflammatory process or infection. The average value in men was Hemoglobin 14.34, Leukocytes 5116.3/m3, Erythrocytes 4.37/mm3, 1 hour 31.55mm/hour, hematocrit 40.92%, segments 61.35%, lymphocytes 30.37%, monocytes 5.07%, eosinophils 2.18%, basiphils 0%, SGOT/AST 39.91 U/L, SGPT/ALT 44.92 U/L, urea 26.57 mh /dl, cretinin 0.8 mg/dl, HBSAG 96.22% reactive and Anti-HCV 71.06% reactive. Average values in women hemoglobin 11.11, leukocytes 6350 /m3, erythrocytes 4.08/mm3, 1hour ESR 72.83mm/hour, hematocrit 33%, segments 62.25%, lymphocytes 29.25%, monocytes 5.83%, eosinophils 2.66%, basiphils 0% , SGOT/AST 33.41 U/L, SGPT/ALT 30.75%, urea 26.41 mg/dl, cretinin 0.85%, HBSAG 100%, and Anti-HCV 75% reactive. Conclusion: Hematology, blood chemistry and immunoserology profiles in drug abusers with HIV indicate the need for more intensive medical intervention. The results of this research can be used to develop a more comprehensive and sustainable rehabilitation model, with a focus on detoxification treatment, rehabilitation treatment plans combining medical treatment and assistance after rehabilitation. By understanding the unique health profile of this population, we can design rehabilitation programs that not only address the problem of addiction, but also improve long-term quality of life. Keywords: Keywords: drug abuse, HIV, hematology, sustainability, rehabilitation Share Link | Plain Format | Corresponding Author (Fitri Isnaini)

67	Public Health	ABS-46
Mental Health Counseling to Improving Mental Health Status for Students at Islamic Boarding Schools Gemah Nuripah, Lina Budiyanti, Ilhan Rakha Aryawardana, Karina Dinda Azzahra, Widia Nurul Aidah Faculty of Medicine Universitas Islam Bandung Abstract ABSTRACT The use of mobile phones by students in Islamic boarding schools is relatively high- this can harm their mental health, for example, a sense of dependency and inability to break away from the virtual world and become socially isolated. Bullying cases are also cases that often occur in schools that have an impact on students^ mental health. One successful effort to improve students^, teachers^, and parents^ knowledge about mental health is through education and training. The team from the Faculty of Medicine, Unisba, provided education to students, teachers, and parents. This training aimed to provide knowledge to students, teachers, and parents about mental health and early detection of students who experience mental health problems. As an implementation of this training, education was carried out for teachers and parents in the form of talk shows and for students in the form of educational games, as well as training in filling out the SDQ questionnaire for teachers. From this activity, it is known that it has been able to increase the knowledge of participants by an average of 11%. Keywords: Education, mental health, training, Islamic Boarding School Share Link | Plain Format | Corresponding Author (Gemah Nuripah)

68	Public Health	ABS-56
Profile of Peripartum Cardiomyopathy (PPCM) Patients at Hasna Medika Cardiovascular Hospital, Cirebon, Indonesia Witri Pratiwi (a,b*), Asri C. Adisasmita (a), Sudarto Ronoatmodjo (a), Amiliana Mardiani Soesanto (c) a) Department of Epidemiology, Faculty of Public Health, Universitas Indonesia, Depok, Indonesia b) Department of Community Medicine and Public Health, Faculty of Medicine, Universitas Swadaya Gunung Jati, Cirebon, Indonesia c) Department of Cardiology and Vascular Medicine, Faculty of Medicine, Universitas Indonesia, Harapan Kita National Cardiovascular Center, Jakarta, Indonesia *Corresponding Email: we3.borneo[at]gmail.com Abstract Peripartum cardiomyopathy (PPCM) is one of the heart diseases that causes morbidity and mortality in pregnant and post-partum women. The cause of PPCM is still unknown for certain but it is associated with several risk factors. This study aims to determine the profile of PPCM patients at Hasna Medika Cardiovascular Hospital, Cirebon, Indonesia based on several risk factors. A cross-sectional study was conducted at Hasna Medika Cardiovascular Hospital Cirebon, Indonesia. Patients diagnosed with PPCM who were hospitalized or visited polyclinic in the period January 2019 to September 2024 were taken as samples. The data was collected through medical records. The sampling method used was total sampling. Data was described through frequency and percentages. There were 63 PPCM patients from January 2019 to September 2024 recorded in the medical records of Hasna Medika Cardiovascular Hospital. More than half were >30 years old (58.7%). As many as 73% of PPCM cases are multiparous pregnancies. Samples with pre-pregnancy obesity and type 2 Diabetes Mellitus (T2DM) before pregnancy were 22.2% and 1.6%, respectively. There were 34.9% of samples experienced chronic hypertension. A total of 20.6% experienced gestational hypertension, 27% preeclampsia and 1.6% gestational DM. Anemia in pregnancy is experienced by 28.6% of PPCM patients. Current study concludes that majority of PPCM patients at Hasna Medika Cardiovascular Hospital, Cirebon, Indonesia were >30 years old and multiparity. Several comorbidities, such as chronic hypertension, gestational hypertension, T2DM before pregnancy, gestational DM and anemia were found in PPCM patients. Keywords: Heart failure, hypertension, maternal, PPCM, peripartum cardiomyopathy Share Link | Plain Format | Corresponding Author (Witri Pratiwi)

69	Public Health	ABS-62
Culturally Adapted Digital Strength Training for Seniors: Evaluating Physical and Psychological Outcomes of the Strength Training Digital Coach for Seniors (STDCS) Program in Singapore Aaron Chen Angus, Joyce Ng, Toh Yi Jun, Sonia Lau, Brian Chan, Islynn Tan, Bernard Loke, Shawn Quck Republic Polytechnic Jiaying Community Services Society Biologic Technik Abstract The Strength Training Digital Coach for Seniors (STDCS) program was designed to improve the physical health, prevent falls, and enhance the quality of life for older adults in Singapore through accessible, culturally tailored strength training. This study evaluated the program^s impact on physical health outcomes, user engagement, and motivation, emphasizing the role of media personalities in health advocacy. A quasi-experimental study recruited 138 seniors (aged 65+) from Jiaying Active Ageing Centre, implementing an eight-week intervention with thrice-weekly strength and mobility sessions via an interactive digital platform. Assessments at baseline and post-intervention measured body composition, functional fitness, and user experience, using paired t-tests, Wilcoxon signed-rank tests, effect size calculations, and regression analysis. Results revealed significant improvements in body fat percentage, lean muscle mass, and fitness scores among participants with high adherence (p < 0.05), while the control group showed no significant changes. Surveys reported high satisfaction and perceived well-being improvements in physical health, social skills, and cognitive abilities. User engagement positively correlated with health outcomes, and focus group discussions with media advocates highlighted their role in enhancing content relevance and motivation. The STDCS program effectively improved seniors^ physical health and engagement, demonstrating the value of culturally relevant content and media-driven advocacy in fostering adherence. These findings underscore the potential scalability of customized digital health interventions for diverse older populations, offering valuable insights for addressing global ageing challenges. Keywords: Digital Health Interventions, Strength Training for Seniors, Culturally Relevant Exercise Programs, Health Advocacy, Functional Fitness, Senior Engagement, Elderly Population Health Share Link | Plain Format | Corresponding Author (Aaron Angus)

70	Public Health	ABS-65
A Three-year Restrospective Analysis of Clinical and Epidemiological Characteristics of Patients with Nasopharyngeal Carcinoma in Persahabatan Hospital Jakarta Hayatun Nufus1,2*, Helda1, Marlinda Adham3, Ratna Djuwita1, Ikhwan Rinaldi4, Yulvina5, Aida Lutfi Huswatun6, Diana Paramita2, Nadiah Chandra Dewi7 1Faculty of Public Health, Department of Epidemiology, Universitas Indonesia 2Hematology and Medical Oncology Division, Internal Medicine, Persahabatan General Hospital, Jakarta 3Department of Ear, Nose, and Throat Clinic (ENT). Cipto Mangunkusumo National General Hospital, Faculty of Medicine, Universitas Indonesia 4Hematology and Medical Oncology, Internal Medicine Department, Cipto Mangunkusumo National General Hospital, Faculty of Medicine, Universitas Indonesia 5Ear, Nose, and Throat Clinic (ENT), Persahabatan General Hospital, Jakarta 6Radiation Oncology, Persahabatan General Hospital, Jakarta 7Faculty of Medicine, Universitas Jenderal Achamd Yani, Bandung *Corresponding author: dr.hayatun[at]gmail.com Abstract Background Nasopharyngeal carcinoma (NPC) ranks as the sixth most common cancer in Indonesia. The majority of cases are diagnosed at an advanced stage, largely due to nonspecific early symptoms and delays in diagnosis. Persahabatan Hospital serves as a national referral center for respiratory cases and cancer cases as well. Majority of the patients use national health insurance program. This study aimed to assess data related to NPC in this single referral hospital. Methods A retrospective cohort study was performed including 66 NPC patients with complete records diagnosed and treated between 2019 and 2022 in Persahabatan General Hospital, Jakarta. The prognostic impact of age, gender, education level, stadium, body mass index, were evaluated using Kaplan-Meier analysis. Result Most NPC patients were male (74.2%), under 50 years old (56.1%), and had a secondary education level (90.9%). A significant portion (39.4%) had a normal body mass index. The preferred treatment strategy was neoadjuvant chemotherapy followed by chemoradiation (57.6%). A three-year survival analysis by Kaplan Meier revealed higher survival rates for stage IV patients and those without anemia, with anemia present in 71.2% of patients. Key laboratory findings included mean hemoglobin, leukocyte, and platelet levels of 10.9 g/dL, 10.716/microL, and 370.000/microL, respectively, alongside average platelet-to-hemoglobin ratio (0.0495), neutrophil-to-lymphocyte ratio (14.922), platelet-to-lymphocyte ratio (60.19), and lymphocyte-to-monocyte ratio (1.714), indicating their relevance to survival outcomes. Conclusion Frequently, NPC patients experienced anemia, which can impact their survival outcomes. Early correction of anemia and effective chemotherapy strategies are critical in improving patient prognosis. Further prospective studies are needed to evaluate causative of anemia in managing this potentially curable malignancy. Keywords: nasopharyngeal cancer, cohort retrospective study, survival analysis, prognostic factors, Indonesia Share Link | Plain Format | Corresponding Author (Hayatun Nufus)

71	Public Health	ABS-68
The Role Of Family Support In Quality Of Life Of Breast Cancer Patients : A Systematic Review Rafiah Maharani1,*, Helda Helda1, Tri Yunis Miko Wahyono1, Noorwati Sutandyo2 1Department of Epidemiology, Faculty of Public Health, Universitas Indonesia, Jakarta, Indonesia 2Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia Abstract Background: Breast cancer is one of the leading causes of death worldwide, especially in women. In most countries, breast cancer is the most common cancer in women. Family support is a factor that influences the quality of life of breast cancer patients. The aim of this systematic review study is to identify the role of family support in the quality of life of breast cancer patients. Methods: This study used the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-analysis) method without meta-analysis. The articles reviewed were articles from 2015-2024. Article searches were conducted using the ScienceDirect, PubMed, EBSCOhost, and Google Scholar databases. From 260 articles relevant to the keywords, 12 articles were eligible for review Result: The role of the family is an important factor related to the quality of life of breast cancer patients. The results of the article analysis showed that the role of family support related to all dimensions of the quality of life (QoL) of breast cancer patients is in the form of emotional support and real support. Conclusion: Family support can affect the quality of life of breast cancer patients. So the better the family support received by the patient, the better the patient^s quality of life will be in all dimensions of quality of life. Keywords: Family Support, Quality Of Life, Breast Cancer Patient Share Link | Plain Format | Corresponding Author (Rafiah Maharani)

72	Public Health	ABS-73
Empowering Health Knowledge Among Santri Cadres at Sabilunnnajat Islamic Boarding School, Ciamis, West Java, Indonesia Raden Anita Indriyanti (a*), Rizki Perdana (b), Alvira Widiyanti (b) Faculty of Medicine, Universitas Islam Bandung Abstract Health problems especially related to a clean and healthy lifestyle, such as the high incidence of infection, are a major concern in the Islamic boarding school environment. Various efforts have been made to reduce various health problems, one of which is by forming health santri cadres. A total of 20 selected health santri cadres were provided with materials regarding the 10 most common diseases that often arise in the Islamic boarding school environment. This research aim is to evaluate the mastery of health problem by assessing the level of knowledge through pre-test and post-test from 50 questions before and after giving the materials. The results showed the median value from post-test is 4 point higher than pre-test, and minimum score from post-test is higher 22 point than pre-test. There are a total of 6 topics with an increasing trend in the post-test (upper respiratory infections, pioderma, scabies, gastroenteritis, tinea cruris and conjuctivitis), with highest improvement in gastroenteritis and tinea cruris topics, but there are 3 topics that tend to decrease (asma bronkhiale, gastritis, eczema). The topic of puliptis seen from the total points has no change before and after the activity.The highest level of knowledge improvement are about gastroenteritis and tinea cruris disesase, while the less improvement are about eczema, pulpitis and conjunctivitis. This might be caused by familiarities of these diseases are more common in cadres daily life. It also shows the participation and involvement of local authorities has carried out the duties and functions to improve the capacity and level of knowledge of the santri cadres. Keywords: Health knowledge, Santri Cadres, Sabilunnajat Share Link | Plain Format | Corresponding Author (Raden Anita Indriyanti)

73	Public Health	ABS-75
Comparing Causes of Patient Delay in Tuberculosis Patients According to Four Renowned Artificial Intelligence (AI): Quo Vadis Bibliometric Analysis? Fajar Awalia Yulianto 1,2- Ella Nurlaella Hadi 1- Nurhayati Adnan 1 1. Faculty of Public Health, Universitas Indonesia 2. Faculty of Medicine, Universitas Islam Bandung Abstract Patient delay in seeking healthcare is a persistent problem that can lead to delayed diagnosis and suboptimal treatment outcomes. This study was aimed to compare the results of four subscribed AIs (ChatGPT, Jenni, Copilot, and Scopus AI) in identifying the causes of patient delay among tuberculosis patients and their quality in answering the question prompts. The qualitative study was conducted involving the in-depth interviews by the standardized prompts (in Bahasa) with four AI as the informants. The matrix of AI answers was created to analyse the answers of each AI for resemblances or differences. All AI agree that stigma and access to the health service are the cause of the patient delay, followed by socio-economic status that appear in majority AI. ChatGPT provides abundant answers for every prompt with vast language fluency compared to Jenni that gives the briefest and mixed-language answers. Copilot and Jenni give direct address to the reference they give although the first one gives more references compared to the later. Finally, the Scopus AI excelled with concise and expandable answers, suggested deeper prompts, references, concept maps, and emerging themes for the next research topics that we can use. In conclusion, Scopus AI is the most effective AI in this study that can significantly enhance research and streamline bibliometric analysis. Keywords: artificial intelligence, patient delay, tuberculosis Share Link | Plain Format | Corresponding Author (Fajar Awalia Yulianto)

74	Public Health	ABS-77
Enhancing Student Engagement, Motivation, Mental Health, and 21st-Century Skills through Game-Based Learning Titik Respati (a*), Sadida Satri (b), Yudi Feriandi (c) a) Department of Public Health, Faculty of Medicine Universitas Islam Bandung, Indonesia * titik.respati.unisba.ac.id b) Ludenara Foundation, Bandung, Indonesia c) Department of Medical Education, Bioethics, and Islamic Medicine, Faculty of Medicine Universitas Islam Bandung, Indonesia Abstract The demand for 21st-century skills, such as collaboration, critical thinking, and creativity, calls for innovative educational strategies. Game-based learning (GBL) has emerged as a promising approach, integrating elements of play into structured learning to enhance engagement and skill development. This study investigates the impact of GBL on students^ motivation, engagement, and cognitive and non-cognitive outcomes such as mental health compared to traditional methods. A quantitative approach was employed, involving surveys and interviews with students and teachers in Jakarta Timur (n=139). Participants experienced both traditional and GBL methods, and data were analyzed quantitatively. Results indicate that GBL significantly enhances learning engagement, motivation, and satisfaction related to mental health with 81% of Jakarta Timur students preferring GBL. Academic performance improved, with better scores in formative assessments post-GBL sessions. These findings suggest that GBL is not only an effective tool for academic learning but also a catalyst for developing 21st-century skills and creating playfull learning for children mental wellbeing. By fostering a playful yet structured learning environment, GBL can address gaps in learning stress due to traditional teaching methods. Future research should explore its scalability and long-term effects across diverse educational settings, emphasizing its integration into mainstream curricula to meet modern educational demands and mental wellbeing of the students. Keywords: game-based learning- playful learning- soft skills, 21st century skills Share Link | Plain Format | Corresponding Author (Yudi Feriandi)

75	Public Health	ABS-83
A Scoping Review : Epidemic Risk Analysis Tool For Infectious Disease (Covid-19) In Health Care Facilities Suyanti1, Mondastri Korib Sudaryo2*, Syahrizal Syarif3, Helda4 1 Doctoral Program in Epidemiology Studies, Faculty of Public Health, University of Indonesia, 1st Floor, Building A,UI Depok 16424, Indonesia 2 Faculty of Public Health, University of Indonesia, 1st Floor, Building A, UI Depok 16424, Indonesia 3 Faculty of Public Health, University of Indonesia, 1st Floor, Building A, UI Depok 16424, Indonesia 4 Faculty of Public Health, University of Indonesia, 1st Floor, Building A, UI Depok 16424, Indonesia *Correspondence:Mondastri Korib Sudaryo, maqo19[at]gmail.com Abstract Background: The current transformation of the health resilience system emphasizes preparedness and response to infectious disease epidemics and pandemics. The COVID-19 pandemic has demonstrated the vulnerability of health care facilities to patient surges, necessitating the need for tools that can measure the risk of disease transmission and population vulnerability in health care facilities. This study aims to summarize the profile of risk assessment tools needed to inform COVID-19 control in healthcare facilities. Methods: An online search across multiple databases and online sources was conducted to identify all epidemic risk and vulnerability assessment tools. Medline/PubMed, Web of Science databases, and websites of public health organizations were used for the search process. Results: Ten COVID-19-related tools were identified, mostly designed to be applied at national and global levels. Key domains that were often the focus included Governance and Regulation, Financing, Health Service Delivery, and Human Resources. However, some tools pay insufficient attention to important issues such as detection and surveillance, laboratory capacity or community capacity in disease detection and control. Each toolkit has limitations in coverage such as only in the health sector, requiring specific, extensive and complex data, lacking detail in guidance on mitigating each threat so that an approach that integrates several tools can provide more holistic and effective results for risk mitigation. Conclusion: Only five tools were used in the COVID-19 study. This study provides a summary of risk assessment tools to inform epidemic response. We recommend global and national efforts in developing more contextualized and epidemic-responsive epidemics, incorporating disease- and country-specific factors to inform operational decision-making and strengthen country capacity in epidemic response. Keywords: Epidemic Risk, Risk Analysis, COVID-19 Share Link | Plain Format | Corresponding Author (Suyanti Muhammad)

76	Spiritual Health and Islamic Health	ABS-31
Profile Description of Metabolic Health in the Elderly Community as Early Detection of Metabolic Syndrome Cases in RW 05 Jatisari_BuahBatu Mia Kusmiati, Rizky Suganda P, Ismawati, Nanda Amalia, Dwi Ulfah, Feri Ardhana, Kavin Abdurohiem, Fadhila Amalia, Raja Syafa Rexana Department of Medical Education, Bioethics and Humanity Medical Faculty of Universitas Islam bandung Abstract Jatisari is one of the sub-districts located within the Buahbatu District of Bandung City, situated on the border of the City and Bandung Regency, covering an area of approximately 208 hectares. There is an issue based on data from the Bandung City Health Office indicating that Buah Batu is the second-lowest sub-district in terms of elderly healthcare service coverage (42.38%) after Kiaracondong Sub-district (32.57%). Common diseases affecting the elderly generally include metabolic syndrome. The purpose of presenting this data is to understand the metabolic health profile of the elderly community in RW 05 Jatisari and to identify the risk of developing metabolic syndrome. We plan to implement a comprehensive series of interventions based on behavioral change models, promoting healthy dietary patterns in accordance with the Quran, Surah Al-Araf, verse 31, and practicing intermittent fasting. The methodology includes mass screening of approximately 50 residents in RW 05, comprising 10 cadres and 40 residents aged between 46 to 78 years. Several indicators of metabolic syndrome were identified through anthropometric measurements, waist circumference, blood pressure measurements, blood sugar levels, and cholesterol levels of the 50 residents. The results are presented in the form of frequency tabulation. The results of this community service program indicate that 30 out of 50 residents (60%) examined show signs of suspected metabolic syndrome, with at least high blood sugar levels (> 130 mg/dl) accompanied by hypertension and cholesterol levels above the recommended average. The Body Mass Index (BMI) measurements reveal an average BMI of 26.23, with the lowest and highest BMI being 17.4 and 35, respectively, within the elderly community, while the average BMI of the cadres is 28.22. The average blood sugar and cholesterol levels are recorded at 126.52 mg/dl and 200.18 mg/dl, respectively. It can be concluded that the metabolic health profile of the elderly community in RW 05 indicates a tendency toward metabolic syndrome in 60% of its residents. Metabolic syndrome is characterized by impaired glucose regulation or diabetes, insulin resistance, hypertension, dyslipidemia (triglyceride levels > 150 mg/dL and/or HDL-C cholesterol < 35, men: waist-to-hip ratio > 0.90- women: waist-to-hip ratio > 0.85), and/or body mass index (BMI) > 30 kg/m2. Keywords: early detection, metabolic health, elderly, community empowerment Share Link | Plain Format | Corresponding Author (Mia Kusmiati)

77	Spiritual Health and Islamic Health	ABS-35
Influence of Islamic Religiousity and Motivation on Health Worker Performance in Indonesian Primary Health Care Center (Puskesmas) Caecielia Makaginsar Fakultas Kedokteran Unisba Abstract Abstract. Public Health Center (Puskesmas) in Indonesian, is the government-onwed primary health service center that plays the role of the frontline health care provider for health development. In order to play its crucial functions, qualified health human resources are required to implement optimal and quality services.To produce human resources with good performance, there are several factors that must be considered such as religiosity and motivation. The purpose of this study is to determine the influence of Islamic religiosity and motivation on the performance of health workers in Puskesmas. The design of this study uses an analytical observational method with a cross-sectional approach. The subjects of this study are health workers at Puskesmas Kalangsari, Karawang Regency in 2022, namely 30 respondents who were selected through a total sampling technique using the Slovin formula. The data collection technique was carried out using a questionnaire that had been tested for validity and reliability. The result showed that religiosity affects the performance of health workers positively and significantly with a total influence of 61.8%. Motivation affects the performance of health workers positively and significantly with a total influence of 34.6%. Religiosity and motivation simultaneously affected the performance of health workers with a total influence of 96.3%. This can be explained as follows, health workers who have high Islmaic religiosity tend to be motivated by the spiritual values of Islam, which encourage dedication, work ethics and better stress management.. All these factors contribute to improving the performance of health workers at the Health Center. Keywords: health worker, Islamic religiousity, motivation, performance, Puskesmas Share Link | Plain Format | Corresponding Author (Caecielia Makaginsar)

78	Spiritual Health and Islamic Health	ABS-39
The Effectiveness of Islamic Spiritual Counseling on Dialysis Patients (A Study at Dustira Military Hospital Cimahi) Rudy Dwi Laksono, Esah Siti Aisyah, Ana Rosyana, Ike Junita Triwardhani Magister Ilmu Komunikasi Universitas Islam Bandung Abstract This study explores the influence of Islamic spiritual counseling on anxiety levels and the quality of life of patients undergoing hemodialysis. Hemodialysis patients often face significant physical and psychological burdens, including anxiety, stress, and a diminished quality of life due to the chronic nature of kidney failure and frequent treatments. Islamic spiritual counseling provides a faith-based approach, incorporating Islamic teachings, values, and spiritual practices to offer emotional and psychological support. By addressing spiritual needs and enhancing coping mechanisms through religious guidance, this form of counseling aims to reduce anxiety levels and foster an improved outlook on life among patients. The study applies a qualitative approach to evaluate the effectiveness of Islamic spiritual counseling in alleviating anxiety and enhancing the quality of life. Participants include patients undergoing hemodialysis who have experienced counseling sessions centered on spiritual support and religious encouragement tailored to their individual needs. Findings indicate a reduction in anxiety levels, greater emotional stability, and a notable improvement in perceived quality of life among patients who engage in consistent spiritual counseling sessions. These outcomes demonstrate that integrating religious and spiritual elements into patient care can offer a holistic approach to addressing the psychological and emotional challenges faced by hemodialysis patients. This research highlights the potential of Islamic spiritual counseling as a complementary method within healthcare settings to improve overall patient well-being and to address the psychosocial dimensions of chronic illness, ultimately contributing to better patient outcomes and quality of life. Keywords: Islamic Spiritual Counseling, Hemodialysis, Anxiety, Quality of Life Share Link | Plain Format | Corresponding Author (Rudy Dwi Laksono)

79	Toxicology and Teratogenic	ABS-19
Morphology of Peripheral Blood Smear in Mice Exposed to Red Congo Food Coloring Ermina Widiyastuti, Meta Maulida Damayanti, Ismet M. Noor, Sara Puspita Wardhani Faculty of Medicine, UNISBA Abstract Introduction This study was conducted to evaluate the effects of an azo dye carmoisine-namely red congo fabric coloring, that widely used in industrial food manufacturing in Indonesia mostly, that might be seen as changes in peripheral blood smear morphology. Method Red congo coloring administered into a group of 28 mice orally treated with four different doses as control, low, medium, and high equivalent to 0, 190, 375, and 750 mg/kg of bw, respectively, for 59 days. After 59 days of treatment, blood smear then made from mice tail and analyzed under light microscope. Results Of 28 mice, all mice showed no differences in lymphocytes count and morphology. All mice showed atypical hypersegmented lymphocytes. There were changes in red blood cells (RBCs) morphology in mice group treated with red congo coloring, with 10.7% showed anisopoikilocytosis with target cells, with 7% of those were in mice group treated with high dose of red congo food coloring. Around 85.7% of mice in both control and treatment groups showed normochromation in RBCs, 21.4% of mice in moderate to high dose treatment group showed polychromation. Conclusion In mice treatment groups, there were changes in RBCs morphology compared to control, without different changes seen in lymphocyte count and morphology compared to control. Keywords: Red congo, azo dye, fabric coloring, blood smear, carmoisine Share Link | Plain Format | Corresponding Author (Ermina Widiyastuti)

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