Badan Penyelenggara Jaminan Sosial (BPJS) is a legal institution established with the aim of managing health insurance plans and Indonesia is a country that has developed social security programs to help people in meeting their health needs. As the organizer of National Health Insurance (JKN), hospitals and Public Health Centre play a role to help a health service to the people of Indonesia. There are various indications to assess satisfaction to determine the quality or quantity of services consisting of Reliability, Assurance, Tangibility, Empathy and Responsiveness (RATER). The standard of service quality can be seen from the level of satisfaction that arises from a patient's feelings, if the level of patient satisfaction to a medical service is thus higher also the standard value of quality hospital or Public Health Centre services. Therefore, the researchers aim to assess the impact of BPJS health service quality on the level of patient satisfaction specifically at BLUD Public Health Centre Ciseeng, Bogor Regency, West Java Province, in 2021. The design of this study is cross-sectional. With analysis using The Exact Fisher test. The results of this study obtained the number of respondents who are satisfied with reability factors is as much as 83 (89.2%), assurance is as much as 83 (89.2%), tangible factors is as much as  85 (91.4%),  empathy is as much as  84 (90.3%), and responsiveness is as much as  81 (87.1%). Statistical test results obtained a value of p = 0.000, which means there is a meaningful relationship between the quality of good service and satisfaction in the service obtained by patients. The advice for Public Health Centre is to continuously improve the quality of services in various dimensions to ensure satisfaction in BPJS recipient patients.

Labor pain is a physiological condition that is experienced by almost all birthing mothers, but if it is not handled properly it will cause problems. Efforts made to reduce labor pain can use pharmacological and non-pharmacological methods. One of the efforts of non-pharmacological methods is massage counterpressure. The purpose of this study was to determine the effect of knowing counterpressure massage on reducing pain intensity during the first active phase in women giving birth. This study used a pre-experimental design with a one group pre-post test design with a sample size of 20 people. The data collection method used SOP massage counterpressure and VDS (Verbal Descriptor Scale) pain scale observation sheets and the sampling technique used was incidental sampling. Data analysis using the Wilcoxon Match Pairs test. The results of the study showed a value of p = 0.001 <0.05, so it was concluded that there was a significant difference in counterpressure massage in reducing pain in the first active phase of normal labor in the Working Area of the Kintamani VI Health Center.

Management of layer excreta and leaf litter can be done by using the vermicomposting method that utilizes the activity of earthworms and microorganisms. The activity of earthworms and microorganisms will reduce the C/N ratio and shrinkage in vermicomposting. This study aimed to determine the effect of a mixture of layer excreta and leaf litter on vermicomposting to the C/N ratio and shrinkage in vermicompost. This study used an experimental method with a completely randomized design (CRD), with three C/N ratio treatments, namely T1 (25), T2 (30), and T3 (35) with six replications. Further analysis using Duncan's multiple distance test. The process begins with initial decomposition for 14 days, followed by vermicomposting for 14 days. The results showed that the C/N ratio during vermicomposting reached 17.84 -33.23 with shrinkage ranging from 15.00% -33.50%.

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