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Prolonged outpatient waiting time remains a major challenge in public hospitals and reflects inefficiencies in service process management. Internal medicine clinics are characterised by high service complexity and patient volume, making them particularly vulnerable to process waste that contributes to extended waiting times. Objective: This study aimed to develop an outpatient service flow model based on the Lean Hospital approach to reduce waiting time in the internal medicine clinic of RSUD Balaraja. Methods: A qualitative case study design was employed. Data were collected through direct observation of outpatient service processes, document review, and Focus Group Discussions (FGD) with relevant stakeholders. Process analysis was conducted using Value Stream Mapping (VSM) to identify value-added and non–value-added activities, while Fishbone Diagram analysis was applied to explore the root causes of process inefficiencies. All findings were integrated to develop a future-state outpatient service flow model. Results: The findings indicate that prolonged outpatient waiting time is primarily influenced by inefficient service flow design, repetitive administrative processes, and weak coordination among service units. The proposed service flow model demonstrates a more streamlined, integrated, and patient-centred process, with potential reductions in waiting time through systematic waste elimination and process improvement. Conclusion: The Lean Hospital approach provides an effective framework for developing outpatient service flow models in public hospitals. The proposed model offers a practical basis for improving outpatient service efficiency in complex clinical settings such as internal medicine clinics.

The problem of household waste in Kalanganyar Village, Sedati District, Sidoarjo Regency, is increasing along with population growth, while residents' knowledge about waste sorting is still minimal and processing facilities are limited. This community service program aims to increase awareness and cleanliving behavior through education and mentoring on household waste processing based on the 3R concept (Reduce, Reuse, Recycle). This activity adopts an Asset-Based Community Development (ABCD) approach that focuses on mapping and utilizing local potential, such as health cadres, youth organizations, the spirit of mutual cooperation, and the availability of potential land. The implementation methods include appreciative inquiry, focus group discussions (FGDs), in-depth interviews with the Head of the Sopo Nyongko TPS and community leaders, participatory observation, and practical mentoring for housewives, youth organizations, and TPS managers on February 9. The results of the activity showed an increase in residents' understanding of PHBS and waste management, indicated by the enthusiasm of participants during the educational session. The program also successfully activated local agents of change: youth groups began implementing inorganic waste recycling, and health cadres designed a home-based waste sorting system.

This study aims to analyze the implementation of cross-sector education based on community participation as an effort to achieve the Sustainable Development Goals (SDGs) in Watangsono Village, Wonogiri. This research employed a descriptive qualitative approach by collecting data through participatory observation, documentation, and Focus Group Discussions (FGD) involving key stakeholders in the village. The results show that the implementation of cross-sector educational programs covering education, health, economy, and environment has a significant impact on improving community knowledge, skills, and awareness. Community participation was reflected through active involvement in various practical activities, such as anti-bullying education, digital literacy training, stunting prevention through local food processing, herbal plant utilization, natural pesticide production, family health massage practices, and strengthening local economic capacity. The participatory and applicative approach encourages two-way knowledge transfer and strengthens community capacity in managing local resources sustainably. Despite challenges such as limited resources and time constraints, the program demonstrates positive contributions to supporting SDGs achievement at the village level. Therefore, cross-sector education based on community participation can serve as an effective strategy in empowering rural communities and fostering sustainable development.

The purpose of this community service program is to enhance the capacity and independence of Micro, Small, and Medium Enterprises (MSMEs) by providing improved training in business management. The program covers the use of digital technology in the agricultural sector, the implementation of occupational safety and health practices, intellectual property protection, and simple financial record-keeping practices. In Pugeran Village, the activities were carried out using a collaborative approach involving the village government, MSME actors, and university students participating in the Community Service Program (Kuliah Kerja Nyata). A qualitative descriptive approach was employed through observation, interviews, and focus group discussions, complemented by direct mentoring and counseling sessions. The results indicate that MSME actors have begun to understand the importance of maintaining simple financial records, utilizing digital technology to market their products, and becoming more aware of workplace safety as well as legal protection for their businesses. The program also encouraged MSME actors to shift their perspectives and manage their enterprises in a more professional manner. However, the speed of implementation varied depending on differences in age, educational background, and established business habits. Overall, this community service activity contributed to strengthening the capacity of MSMEs and supporting sustainable economic growth in the village

Curriculum reform in Indonesia has repeatedly emphasized flexibility, deep learning, and student-centered instruction. Nevertheless, many reforms have not been translated effectively into classroom practice. Existing studies tend to focus on teacher competence and policy readiness, while the deeper dimension of teacher beliefs remains underexplored. This study aims to unpack how teacher beliefs shape responses to curriculum reform and to identify the belief-related factors that influence the success or failure of curriculum innovation. A qualitative descriptive design was employed using pre-Delphi reflective questionnaires and Focus Group Discussion data involving senior secondary school teachers and educational stakeholders. Data were analyzed thematically to identify recurring patterns of belief, challenge, and adaptation. The findings reveal that teacher beliefs constitute the most decisive factor in curriculum implementation. Three major themes emerged: (1) a persistent gap between curriculum policy and classroom practice, (2) the difficulty of transforming teachers’ mindsets from fixed to growth-oriented perspectives, and (3) the construction of an ideal teacher identity characterized by reflection, adaptability, collaboration, and moral commitment. More importantly, teachers viewed curriculum change not merely as a technical demand, but as a moral and spiritual responsibility. Curriculum reform will remain ineffective unless it addresses teachers’ internal beliefs. Sustainable transformation requires professional development that integrates cognitive, emotional, and spiritual dimensions of teaching.      

This community service project aims to accentuate inclusive values among the youth of Tanjung Dapura, Makassar City, to strengthen social cohesion in a heterogeneous urban environment. The implementation methods included team consolidation, material preparation, and strategic coordination with local government authorities. The core activities were conducted through participatory counseling and Focus Group Discussions (FGD) to independently analyze social exclusion challenges. The materials focused on the importance of respecting diversity and the strategic role of youth as inclusive agents of change. The results indicated a significant increase in participants' understanding of inclusion literacy and their ability to formulate creative solutions for local discrimination issues. Evaluation through observation and reflection confirmed a paradigm shift among the youth from passive tolerance toward active participation in embracing differences. This project concludes that the synergy between critical education and collaborative dialogue successfully transforms youth into resilient pillars of social harmony. The accentuation of these inclusive values is expected to become the foundation for a more just and sustainable coastal community in Makassar.

This study aims to identify the learning needs of deaf students in internship programs, examine the challenges they face, develop appropriate solutions, and design as well as evaluate a visual module-based learning model to improve their work skills. The study used a Research and Development (R&D) approach with a 4D model: Define, Design, Develop, and Disseminate. The participants included deaf students from special needs high schools (SMALB) involved in vocational internships, mentor teachers, and industry supervisors. Data were collected through observation, interviews, questionnaires, documentation, and focus group discussions, and analyzed using qualitative techniques supported by descriptive analysis. The findings indicate that deaf students require visual, structured, and easily understandable work instructions supported by symbols, color codes, and guidance materials. Major challenges include limited verbal communication, difficulty understanding instructions, and risks of procedural errors. To address these issues, a systematic and communicative visual module-based learning model was developed, incorporating collaborative support from schools and industry. The resulting model integrates planning, implementation, mentoring, and evaluation stages, and has proven feasible and effective in enhancing students’ independence, technical competence, and overall work readiness.

This study investigates the implementation of history learning based on Higher Order Thinking Skills (HOTS) in developing students' analytical history skills. This research is motivated by the dominance of conventional teaching focused on lectures that emphasize memorization of facts rather than critical and analytical thinking. The study aims to describe how HOTS-based strategies are implemented in history classes and to analyze their impact on students' analytical skills. This research uses a qualitative descriptive methodology. Data were collected through classroom observations, interviews, and documentation, then analyzed using data reduction, data display, and conclusion drawing techniques. The findings show that before the implementation of HOTS, students' responses were mostly descriptive and limited to recalling factual information. After the implementation of HOTS-based learning through the use of analytical questions, historical case studies, source analysis, and structured group discussions, students showed significant improvement in explaining cause-and-effect relationships, evaluating historical evidence, and building logical arguments. Students became more active in discussions and demonstrated a deeper conceptual understanding than mere memorization. However, several challenges were identified, including students' limited experience in critical thinking, time constraints, and the need for teachers to be better prepared in designing HOTS-oriented learning instruments. Overall, this study concludes that HOTS-based history learning effectively improves students' analytical history skills and shifts the learning orientation from lower-order thinking to higher cognitive engagement. This approach pedagogically contributes to fostering a critical, reflective, and contextual understanding of history that is relevant to the demands of 21st-century education.

Hypertension contributes to numerous complications such as heart disease, stroke, kidney failure, and is a risk factor of disability and death. Hypertension Prevalence in Jatinangor is 37.8%, that is higher than national rate. The control of hypertension is low and the education at the primary health facility is short. Therefore, another buffer system for education such as posbindu is needed. Activities that educate people with hypertension become very important, but need to be adjusted as needs. Aim of this study is to determine form and intensity of education preferred by hypertension patients Method: Qualitative descriptive with case study approach using focused group discussion (FGD) method, led by main moderator and assisted by a second moderator. Participants consisted of 15 people with hypertension chosen purposively with the inclusion criterias female and parallel to the research objective. The discussion used semi-structured questions. This study is conducted in two villages in Jatinangor, Desa Cipacing and Desa Cilayung from February to May 2017. Results: Participants wanted education in the form of traditional learning, game simulation, written notes, and video recording. The intensity of education preferred until patients understand, it tends to be performed more than once, and preferred place are performed within Posyandu (Integrated Health and Nutrition Post) with education frequency varies from once a week to once a month. Conclusion: Hypertension patients have variable preference of education forms and its intensity. Innovations in the development of methods in accordance with hypertension patients’ needs must be continued, so that interventions can become more effective for hypertension patients.

This study aims to analyze the dynamics of the lives of indigenous Papuan communities and transmigrants, particularly in the social and economic context of Sota Village, Merauke Regency, South Papua. The study uses a qualitative approach with semi-structured interviews, documentation, and focus group discussions (FGDs). This study involved various parties to obtain a comprehensive view of the social interaction between indigenous peoples and transmigrants. Data were obtained through interviews with leaders and indigenous peoples of Sota Village. The results of the study show that the social relationship between indigenous peoples and transmigrants is harmonious, characterized by cooperation in social activities, mutual assistance, and joint economic development. The presence of transmigrants has had a positive impact on improving welfare, equalizing infrastructure, and introducing modern agricultural techniques to indigenous peoples. On the other hand, local wisdom such as Adat Sasi also plays a role in maintaining social harmony and ecological balance, while the traditional deliberation mechanism serves as a means of peaceful conflict resolution. Indigenous communities show openness to change but remain critical of the sustainability of the transmigration program due to land limitations. Overall, this study concludes that multicultural life in Sota reflects the success of social integration based on the values of tolerance, mutual respect, and cooperation in building a peaceful and sustainable society.

Remaja sebagai generasi penerus bangsa memiliki peran penting dalam melanjutkan pembangunan Negara, oleh karena itu dapat dikatakan bahwa remaja merupakan aset atau modal utama sumber daya manusia bagi pembangunan bangsa di masa depan. Oleh karena itu, kesehatan remaja perlu dijaga agar dapat menjadi generasi penerus bangsa yang sehat, produktif dan berkualitas. Metode penelitian ini menggunakan metode Participatory Action Research (PAR). Metode PAR menggunakan beberapa teknik, antara lain; pertama, observasi, focus group discussion (FGD), Sharing Knowladge, wawancara mendalam, pelatihan dan dokumentasi. Berdasarkan hasil penelitian, ditemukan bahwa pertama, kegiatan bakti sosial yang dilakukan oleh Himpunan Mahasiswa Kebidanan (HIMADAN) tahun 2026 di Panti Asuhan Ma'had Tahfidz Al Anwar, Desa Tegalandong, Kecamatan Lebaksiu, Kabupaten Tegal, berhasil memberikan edukasi kesehatan reproduksi, Perilaku Hidup Bersih dan Sehat (PHBS), dan gizi kepada 63 peserta anak dan remaja. Kedua, diskusi menekankan bahwa kesehatan reproduksi, PHBS, dan gizi merupakan aspek krusial bagi remaja, terutama dalam mencegah masalah seperti anemia, stunting, dan penyakit menular. Ketiga, secara keseluruhan, kegiatan ini berhasil menjadi pemicu bagi remaja untuk menerapkan pola hidup sehat, meskipun diperlukan evaluasi lebih lanjut dan penguatan bahan gizi untuk dampak yang maksimal.

The digital transformation of healthcare requires hospitals to optimally implement Electronic Medical Records (EMR) in accordance with the National Hospital Accreditation Standards (SNARS). However, challenges remain related to human resource readiness and the effective use of EMR to support KARS accreditation and service quality improvement. This community service activity aimed to provide assistance in implementing SNARS-based EMR at Mitra Sejati General Hospital, Medan. A descriptive–qualitative approach was applied through education, structured training, focused group discussions, and peer group mentoring involving healthcare professionals and supporting staff. The results demonstrated an improvement in participants’ understanding of SNARS, increased compliance of EMR implementation with KARS standards, and enhanced quality and traceability of medical record documentation. The assistance also improved hospital readiness for accreditation and contributed to quality and patient safety improvement. It can be concluded that SNARS-based EMR implementation assistance is an effective strategy to support KARS accreditation and enhance hospital service quality.

This community service activity aims to describe the implementation of the first-month mentoring activity of the Student Entrepreneur Development Program (P2MW), which focuses on program orientation and team formation at Universitas Muhammadiyah Jambi. The activity was conducted in February 2025 and involved students participating in the P2MW program. A descriptive-participatory approach was applied through program socialization, facilitated team formation, interactive discussions, and group reflection. The results indicate that students gained a better understanding of the objectives and mechanisms of P2MW and were able to form entrepreneurial teams with clearer role distribution. In addition, the mentoring activity contributed to improving communication, teamwork, and students’ confidence in presenting business ideas. The first-month mentoring activity provides a positive initial foundation for the implementation of P2MW and supports the sustainability of student entrepreneurship development in subsequent stages.

This article discusses the strengthening of business management at Gerai Puan Hayati, an MSME in Central Java, through participatory mentoring. The partner faced problems including disorganised financial records, ad-hoc business planning, inconsistent branding, and limited use of digital media for promotion and market expansion. The programme was carried out through observation, interviews, focus group discussions, training, guided practice, and mentoring. The materials covered bookkeeping, cash flow management, business strategy, service enhancement, digital marketing, and mapping local cultural values as product strengths. Evaluation was conducted qualitatively by comparing the partner’s condition before and after the activities, supported by field notes and reflection. The results showed improved business administration, better understanding of cost and revenue separation, more planned use of digital media, and confidence in developing product innovation and marketing networks. This initiative also strengthened women’s participation, motivation, and awareness that local culture can serve as a sustainable competitive resource for MSMEs.

This study aims to describe the implementation of ethical philosophy learning and the assessment pattern for student learning outcomes at the KH. Ahmad Sanusi Sukabumi Institute (INKHAS). Ethical philosophy is understood as a critical study of good and bad values in human actions, which not only accepts moral teachings normatively, but examines them rationally and in depth. In the learning process, this course applies discussion and dialogue methods as the main approach to encourage students to think critically, express opinions argumentatively, and build mutual respect. The lecturer acts as a facilitator who directs the discussion, instills academic ethics, and maintains a scientific learning flow. The assessment pattern does not focus on memorizing theories, but rather on students' analytical abilities as measured through discussion participation, individual assignments, and group assignments. The results of the study indicate that this method is effective in developing students' conceptual understanding, critical thinking skills, and moral awareness, although obstacles such as lack of motivation in some students due to the abstract nature of the material are still found. Overall, ethical philosophy learning at INKHAS plays an important role in shaping ethical character, reflective thinking, and responsible attitudes in academic and social life.

This community service was carried out in Margaluyu Village, Kasemen District, Serang City. This community service program was prepared based on the problem of increasing the amount of household plastic waste in Margaluyu Village which until now has not been managed optimally. As an innovative effort in handling this problem, the community service team held a training activity on making wind hole breeze breeze blocks using mixed materials in the form of shredded plastic and silica sand. This community service program not only focuses on efforts to reduce the level of environmental pollution, but also directs inorganic waste to be processed into building materials that have aesthetic value as well as high benefits for local residents. The activity was carried out with a focus on strengthening the role of youth groups and fathers as the main drivers of the creative economy at the village level. In the demonstration session, participants were invited to directly practice steps ranging from plastic sorting, the enumeration process, to roster printing techniques that require high precision. In addition, the team also provided technical assistance and simulations of production cost calculations so that participants understood the potential economic value of the product. Participatory discussions were conducted to explore field challenges, while the final evaluation showed an improvement in the participants' skills and environmental awareness.

This community service was carried out in Margaluyu Village, Kasemen District, Serang City. This community service program was prepared based on the problem of increasing the amount of household plastic waste in Margaluyu Village which until now has not been managed optimally. As an innovative effort in handling this problem, the community service team held a training activity on making wind hole breeze breeze blocks using mixed materials in the form of shredded plastic and silica sand. This community service program not only focuses on efforts to reduce the level of environmental pollution, but also directs inorganic waste to be processed into building materials that have aesthetic value as well as high benefits for local residents. The activity was carried out with a focus on strengthening the role of youth groups and fathers as the main drivers of the creative economy at the village level. In the demonstration session, participants were invited to directly practice steps ranging from plastic sorting, the enumeration process, to roster printing techniques that require high precision. In addition, the team also provided technical assistance and simulations of production cost calculations so that participants understood the potential economic value of the product. Participatory discussions were conducted to explore field challenges, while the final evaluation showed an improvement in the participants' skills and environmental awareness.

This research aims to evaluate the SQUAD Dewan (Suara Kita Untuk Demokrasi/Our Voice for Democracy) program implemented by the Secretariat of East Java Provincial Legislative Council (DPRD). The SQUAD Dewan program is an innovative initiative designed to enhance public participation in the legislative process and strengthen democratic practices at the provincial level. Using the CIPP (Context, Input, Process, Product) evaluation model developed by Stufflebeam, this study examines the program's effectiveness, efficiency, and sustainability. This qualitative research employs a descriptive approach, with data collected through in-depth interviews, focus group discussions, observation, and documentation at the Secretariat of the DPRD of East Java Province. Informants include program managers, legislative council members, public participants, and community representatives. The results indicate that the SQUAD Dewan program has successfully increased public engagement in legislative activities, with a 45% increase in public hearing participation and 60% growth in policy input submissions from 2022 to 2023. The program has effectively utilized digital platforms for broader outreach, reaching over 150,000 citizens through online forums and social media campaigns. However, challenges remain in terms of geographic coverage inequality, limited participation from rural communities, and the need for more sustainable funding mechanisms. This study recommends strengthening digital infrastructure in rural areas, developing capacity-building programs for community facilitators, establishing permanent funding allocations, and creating feedback mechanisms to enhance program responsiveness to public needs.

This Community Service Program (PkM) aims to strengthen the role of adolescent parents through education on parenting during puberty and family financial literacy in Lembang Tondon Langi’, Tondon District, North Toraja Regency. Through two training sessions led by Ibu Rio Rita Pakan and Ibu Westerini, the program focused on enhancing the knowledge and skills of parents in addressing the challenges of parenting adolescent children and managing household finances. The first session, which addressed parenting during puberty, provided parents with insights into the characteristics of adolescent development and effective communication strategies. The second session, which focused on family financial management, offered practical skills in budgeting, debt management, and saving for the future. The results of the program showed that parents in Lembang Tondon Langi’ felt more prepared and confident in applying a more open and adaptive approach to parenting, as well as becoming more prudent in managing household finances. The enhancement of skills in both areas is expected to create more harmonious families and greater financial stability. The sustainability of the program is recommended through the formation of ongoing discussion groups and the active involvement of community leaders. This program has contributed positively to family welfare and the empowerment of parents in rural areas

Adolescents are a vulnerable group to digital sexual violence, including sextortion, which involves sexual extortion through threats to distribute sexually explicit content. Low levels of self-control may increase adolescents’ vulnerability to such risks. This study aimed to examine the effectiveness of psychoeducation in enhancing self-control understanding as a preventive effort against sextortion among adolescents. A quantitative approach with a pre-experimental one-group pre-test–post-test design was employed. The participants consisted of 36 students aged 15–17 years from a public senior high school in Samarinda. The psychoeducational intervention was delivered through interactive lectures, Focus Group Discussions (FGD), and educational video screenings. Data were analyzed using the Wilcoxon Signed-Rank Test. The results of the analysis showed a statistically significant difference (Z = −2.201; p = 0.028 (p < 0.05)). This indicates that there was a difference in adolescents’ self-control before and after the psychoeducation intervention. The post-test mean score (M = 8.39) was higher than the pre-test mean score (M = 8.00). These findings suggest that psychoeducation was effective in improving adolescents’ understanding of self-control as a preventive effort against sextortion. Self-control psychoeducation can therefore be considered a relevant preventive approach to be implemented in school settings.