The implementation of the Problem-Based Learning (PBL) model for medical students has long been initiated to be integrated into the learning system and curriculum, however, empirical support for the application of the PBL model to medical students is still weak, becoming an obstacle. On the one hand, the need for critical thinking development among medical students is increasingly urgent, this is related to their future assignments in a more complex health care system that requires critical thinking ability. Our current study aims to evaluate the effectiveness of the problem-based learning (PBL) model on improving the critical thinking ability of medical students in terms of cognitive style. This study is an experimental study (one group pretest-posttest design) involving 21 medical students (medical students') in phytochemistry courses at one of the universities providing medical and nursing science programs in Indonesia. The study started by giving a cognitive style test using the GEFT (Group Embedded Figure Test) instrument to classify students into FD and FI cognitive styles, pretest, learning implementation using the PBL model (carried out for five meetings), and posttest. The pretest and posttest used a critical thinking ability test instrument in the form of an essay test. Descriptive and statistical analyzes were performed to evaluate the effectiveness of the PBL model. The results of the study show that the PBL model has been convincingly effective in improving students' critical thinking ability in phytochemistry courses for both FD/FI cognitive style modes. Based on these findings, we recommend the use of the PBL model in extensive and intensive learning to develop the critical thinking ability of medical students

Performance evaluation of public health centers must be carried out to measure the level of achievement of quality performance based on customer perspectives and internal service processes. This study aims to evaluate the quality of outpatient services before and during the Covid-19 pandemic at the Aik Darek public health center, West Nusa Tenggara - Indonesia. This study is an exploratory research with comparative descriptive method. A total of 88 research samples were used based on files from outpatients who had visited before the Covid-19 pandemic (October to December 2019) and during the Covid-19 pandemic (March to May 2020). The instrument of this research is a questionnaire from 5 aspects of service quality, tangible, reliability, responsiveness, assurance, and empathy. Descriptive and statistical analyzes were conducted to compare service conditions based on established indicators. The results of this study clearly illustrate that the quality of service before the COVID-19 pandemic was better than during the Pandemic. Satisfaction on the tangible aspect is the most prominent compared to other aspects. The results of statistical analysis also showed significant differences in the two health care conditions based on the five aspects measured. Further description is presented in this article.

Many people feel helped by the health center services and there are also people who are not satisfi ed. The Community Satisfaction Survey (SKM) was conducted to determine the quality of services provided by community health centers. For government-owned public service providers, the Minister of PANRB issued a regulation on SKM Number 14 of 2017. Based on information from the Head of the Primary Health Care Section of the Central Lombok Regency Health Offi ce in 2019 only 6 puskesmas out of 28 puskesmas conducted a survey but the documents sent did not comply with the guidelines. This is because the puskesmas do not understand the benefi ts of SKM, have not received socialization, do not yet understand the techniques for conducting SKM and the calculation of survey results. The solution off ered in this workshop is to provide knowledge about SKM, about the 9 elements of public service quality that determine satisfaction, providing skills in collecting and visualizing online data from survey results. The results obtained from this activity were an increase in the knowledge and skills of public health centers regarding SKM and the implementation of online data collection and visualization of the Community Satisfaction Survey went well.

The study aims to analyze the factors that influence elderly visits at public health service centers. This research is a quantitative descriptive study with a cross sectional approach. The population in this study was as many as 2.000 elderly people in Sikur District of East Lombok Regency. The sample was selected randomly sampling, determined by the formula Slovin (10% leeway percentage), with a sample of 98 elderly people. The instruments used in the form of questionnaires about factors that affect elderly visits include environmental support, perception, knowledge, character, alternative activities, and the management of public health service centers. Data collection is done through the dissemination and filling of questionnaires by the elderly related to factors that affect visits. The results showed that factors affecting elderly visits include: 1) environmental support, sig value. (ρ = 0.000); 2) perception, sig value. (ρ = 0.015); 3) knowledge, sig value. (ρ = 0.013); 4) character, sig value. (ρ = 0.125); 5) alternative activities, sig values. (ρ = 0.002); and 6) posyandu management, sig value. (ρ = 0,000). Thus, it can be stated that factors such as environmental support, elderly perception, elderly knowledge, alternative elderly activities, and management affect elderly visits in the center of public health services in Sikur District of East Lombok Regency.

Imunisasi DPT adalah salah satu vaksinasi yang wajib diberikan kepada balita. Menurut World Health Organization (WHO), tercatat ada 7.097 kasus difteri yang dilaporkan di seluruh dunia pada tahun 2016. Diantara angka tersebut, Indonesia menempati urutan ke 2 setelah India dengan jumlah kasus difteri terbanyak. Untuk mengetahui hubungan tingkat pengetahuan ibu tentang imunisasi DPT dengan status imunisasi bayi dalam program imunisasi DPT di Desa Labulia Kecamatan Jonggat Kabupaten Lombok Tengah tahun 2018. Penelitian ini menggunakan Observasi Analitik dengan menggunakan pendekatan Cross Sectional. Populasi pada penelitian ini berjumlah 49 orang dan sampel menggunakan seluruh populasi. Penelitian ini menggunakan uji statistik Chi Square  dan diperoleh nilai signifikan sebesar 0,000 (r < 0,05) yang berarti Ho ditolak dan H1 diterima. Terdapat hubungan yang signifikan antara tingkat pengetahuan ibu tentang imunisasi DPT dengan status imunisasi bayi dalam program imunisasi DPT di Desa Labulia Kecamatan Jonggat Kabupaten Lombok Tengah Tahun 2018. Supaya melakukan penelitian lebih lanjut dengan mempertimbangkan faktor-faktor lain yang dapat mempengaruhi status imunisasi dalam program imunisasi DPT secara kompleks dan menyeluruh.