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Varadella Kusumawardhani; Nida Handayani

Jurnal Media Administrasi 2024 Universitas 17 Agustus 1945 Semarang, Indonesia

Online consultation is an idea from e-government in the health services sector that uses technology to integrate health services at Community Health Centers. The aim is to simplify bureaucratic processes in health services to the community. In practice, there are still several obstacles that arise, such as a lack of outreach efforts, slow response times from consultations, and recording that is not automatic because it still relies on WhatsApp. The aim of this research is to determine the effectiveness of "online consultation" to improve the quality of public services at the Pondok Betung Community Health Center, South Tangerang City. The method in this research is a qualitative method with a descriptive approach. Data collection techniques using observation, interviews and documentation as complements. This research was analyzed using 4 (four) indicators of effectiveness, namely: (1) Accuracy of Program Targets, (2) Program Socialization, (3) Achievement of Program Objectives, and (4) Program Monitoring. The research results show that the effectiveness of the "online consultation" service at the Pondok Betung Community Health Center has not been achieved because there are still many people who do not know the information about this service. The socialization program for this service is not yet optimal because many people are still not aware of its existence. The program's objectives have also not been achieved well because the "online consultation" service has not been running smoothly and only a small number of people are using it. From the results of this research, it is concluded that online health services at the Pondok Betung Community Health Center, South Tangerang City have not reached the expected level of effectiveness.

Aris Toening Winarni; Dony Bundianto

International Journal of Social Welfare and Family Law 2024 Asosiasi Penelitian dan Pengajar Ilmu Sosial Indonesia

This article examines the role of bureaucratic digitalisation in advancing good governance in post-New Order Indonesia based on a narrative literature review. Employing an integrative framework that connects Good Governance theory, E-Government, Digital Era Governance, and Institutional Theory, this study analyses literature published between 1998 and 2024 drawn from academic journals, policy documents, and national–international institutional reports. The findings indicate that, although Indonesia has achieved notable progress in digital regulation and infrastructure, reflected in the adoption of SPBE and the increase in the EGDI from 0.3690 (2012) to 0.6612 (2022), implementation continues to face severe structural and institutional constraints. Five key themes emerge: progressive policy development yet uneven implementation; a transparency paradox between rhetoric and practice; severe interregional digital divides; institutional resistance rooted in patrimonial administrative culture; and the ambivalent effects of digitalisation on public service quality. This study concludes that the digitalisation of bureaucracy has not fundamentally transformed good governance due to an excessive emphasis on technological solutions in the absence of institutional and cultural reconfiguration. Policy recommendations include contextual strategies based on local capacity, sustained investment in civil servant capacity building, and reforms to bureaucratic incentive structures. This study contributes to the e-government literature in developing countries by providing a critical analysis of the persistent gap between policy adoption and actual implementation.

Surya Utama; Soomal Fatima

Systematic Literature Review Journal 2024 International Forum of Researchers and Lecturers

Hospital Information Systems (HIS), or Sistem Informasi Rumah Sakit (SIRS), play a critical role in enhancing administrative efficiency, decision support, and healthcare service quality. However, their implementation and effectiveness vary significantly across healthcare settings, particularly in low- and middle-income countries (LMICs). This study aims to systematically evaluate the existing literature on HIS effectiveness, implementation barriers, and administrative impact. Using a PRISMA-based Systematic Literature Review (SLR) approach, we examined 14 high-quality studies from multiple scholarly databases including PubMed, Scopus, ScienceDirect, and Garuda. The review applied a hybrid thematic synthesis grounded in HOT-FIT and DeLone & McLean models, combined with a normalized quality scoring system. The findings reveal that HIS implementations positively influence administrative workflow, billing accuracy, and patient throughput, though outcomes are context-dependent. Key challenges include lack of interoperability, resistance to change, and insufficient training. Notably, regulatory mandates and national digital health policies were found to significantly enhance HIS adoption and sustainability. This review contributes a multidimensional synthesis of HIS performance, highlighting the importance of human, organizational, and policy alignment. It offers an evidence-backed framework for HIS evaluation that bridges theory and practice. We conclude that integrated, context-sensitive HIS models are essential for advancing hospital management and public health systems, and recommend further empirical studies on long-term impact and cross-sector integration.

Adi Wicaksono; Aep Saefullah; Hendra Candra; Moh Tahang

Jurnal Ilmu Pendidikan 2024 Lembaga Pengembangan Kinerja Dosen

This study aims to analyze the use of Google Scholar, SINTA, and BIMA platforms in improving the quality and quantity of academic publications as indicators of lecturer performance evaluation at the Ganesha College of Economics (STIE). The research was conducted for three months from February to April 2023. The method used a qualitative approach with a case study involving 67 lecturers of S1 Management, S1 Accounting and S2 Management of STIE Ganesha. Data collection techniques through literature studies, interviews, and observations. Data analysis was carried out using descriptive and comparative analysis techniques. The results showed that 45 permanent lecturers of STIE Ganesha had used the academic platform, namely Google Scholar and SINTA. And 67 other people already have a BIMA account. The obstacles of lecturers include a) Lack of awareness of lecturers in research, b) Research intention and interest are still weak, c) Do not understand how to use academic platforms, d) Technical ability to make research articles is not the same. The solution to anticipate it by: a) Providing training, socialization or technical support for lecturers in the use of academic platforms, b) Providing intensive assistance to lecturers every time in Writing Academic Skills.  The role of the STIE Ganesha Research and Community Service Institute (LPPM) as an institution that handles lecturer research is very important in encouraging an increase in the publication of scientific papers by lecturers. The research limits the scope of the use of academic platforms for STIE Ganesha lecturers, it is hoped that wider research development can be carried out related to the publication of scientific papers by lecturers. This research contributes to knowledge insights for the general public in the use of academic platform tools. The research results are expected to provide input for educational institutions to improve the lecturer performance evaluation system and provide better support for improving the quality and quantity of lecturers' academic publications.

Diana Dayaningsih; Dwi Mulianda; Anggraeni Widya Purwasih; Adelia Putri; Pravitasari Pravitasari +2 more

Compromise Journal : Community Proffesional Service Journal 2024 LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

World Handwashing Day with Soap is a global campaign launched by the United Nations in collaboration with other organizations, both government and private, to promote the behavior of washing hands with soap by the public as an effort to reduce the mortality rate of children under five and prevent diseases that can have an impact on decreasing the quality of human life. Hand washing is the most important basic technique in the prevention and control of infections. Almost everyone understands the importance of washing hands with soap, but there are still many who do not get used to doing it right at the crucial moment. People will be able to increase their knowledge of healthy living wherever they are if they are aware, motivated and supported by information and health facilities and infrastructure. The results of the initial assessment at SD Negeri Meteseh Semarang found that 67% of students of SD Negeri Meteseh had experienced diarrhea, 66% of students did not know the meaning of diarrhea, 80% of students did not know about the causes of diarrhea, 81% of students did not know the signs and symptoms of diarrhea, 75% of students did not wash their hands before and after bowel movements and bowel movements, 78% of students did not wash their hands with soap. Washing hands with soap is very important as one way to prevent diarrhea, a WHO study of washing hands using soap can reduce the incidence of diarrhea by 47%. Based on the results of the study, interviews and observations while at SD Negeri Meteseh, the idea to conduct health counseling came up, namely washing hands with soap through providing direct information to all residents of SD Negeri Meteseh through the program "Wash Your Hands and Kill Your Germs". It is hoped that with this program, especially children at SD Negeri Meteseh will have a good habit, namely washing their hands with soap to kill germs that lodged in their hands and positive support from the school as a form of community service of STIKES Kesdam IV / Diponegoro Semarang.

Farsya Salsabila Putri; Achluddin Ibnu Rochim

Jurnal Pengabdian dan Kesejahteraan Masyarakat 2024 Lembaga Pengembangan Kinerja Dosen

The service assistance carried out at the Sidoarjo Public Service Mall is one of the efforts to increase public participation in Sidoarjo city. With the presence of the August 17, 1945 University student internship program at the Public Service Mall, the community can be assisted by the services provided by various government agencies and use the best facilities and infrastructure in providing services. The service assistance carried out by the Public Service Mall has a positive impact on the community, making it easier to manage services both online and offline. This activity aims to provide an understanding to the community about the services provided by the government. The results of the analysis of internship activities carried out at the Public Service Mall provide understanding and service assistance guarantee top quality and class, as well as providing services by providing easy access for the community. Services provided include various offices, such as the Investment and Integrated One-Stop Service Office, the Population and Civil Registry Office, the Social Service, the Regional Tax Service Agency, and others.

Asmiana Saputri Ilyas

Inovasi Kesehatan Global 2024 Lembaga Pengembangan Kinerja Dosen

Health service in home is one of the health service that do in the family’s home stay for improving and defending family’s health. Home care gives priority to the fulfilment of health service with organizing the health service that have a quality with out an affense of code of ethics and standard of the quality of medical care profession in home care service in Batua Public Health Center jobs area in Makassar City. This study was do it with using descriptif survey with cross sectional study appraoach with amount of sampels 76 people wiht total sampling method. The results of this study showed that raliable has a relation with patients family statisfaction with p (0,002) < (0,05), assurance has a relation with patients family statisfac- tion with p (0,000) < (0,05), tangible has a relation with patients family statisfaction with p (0,000) < (0,05), emphaty has a relation with patients family statisfaction with p (0,002) < (0,05), responsiviness has a relation with patients family statisfaction with p (0,003) < (0,05). According to the results, its can be con- cluded that reliable, assurance, tangible, emphaty and responsiviness in home care service have a relation with patients family statisfaction. Suggested to the home care service officer in Batua Public Health Center to promote more about hme care service and always stay defending the nersing care service now.

Muhammad Nur; Nike Ardiansyah

Public Service And Governance Journal 2024 Universitas 17 Agustus 1945 Semarang

This study aims to evaluate the impact of bureaucratic reform in Bima Regency following the issuance of the Ministerial Regulation on Administrative Reform (PermenPAN-RB) Number 3 of 2023, with a primary focus on enhancing the quality of public services and the efficiency of administrative processes through the implementation of information technology. Utilizing a qualitative descriptive research method, this study explores the perceptions and experiences of civil servants (ASN), policymakers, and the civilian community in Bima Regency. Data were collected through in-depth interviews, participatory observation, and document analysis to understand the implementation and effectiveness of the reforms undertaken. The findings indicate that bureaucratic reform in Bima Regency has made significant progress in improving the efficiency and effectiveness of public services, underpinned by the Bureaucratic Reform (RB) Index. The main focus of this reform is to accelerate service delivery, enhance user satisfaction, and reduce unnecessary bureaucracy, with the digitalization of services as a key step that has successfully reduced waiting times and increased transparency. Training programs for civil servants have also been enhanced to ensure high-quality services that meet the needs of the community. The roadmap for bureaucratic reform also includes efforts to strengthen integrity and transparency, with an emphasis on improving the Corruption Perception Index (CPI) score through the strengthening of oversight institutions and the implementation of policies that limit direct interactions, reducing opportunities for corruption. Furthermore, Bima Regency continues to innovate by integrating information technology into government administration to improve the Government Effectiveness Index (GEI) and E-Government Development Index (EGDI), ensuring data security, and expanding public access to government services, especially in remote areas.

Irma Nurdiana; Khithoh Ayumi

Jurnal Pengabdian dan Solidaritas Masyarakat 2024 Lembaga Pengembangan Kinerja Dosen

This research discusses the implementation of the Digital Population Identity (IKD) application at the Disdukcapil of Tanjungpinang City in the context of E-Government. The implementation of digital identity technology as an effort to improve the efficiency of public services faces a number of challenges, including communication, resource availability, disposition, and bureaucratic structure. In terms of communication, Disdukcapil Kota Tanjungpinang uses social media and goes directly to the field to socialize and activate the IKD application. Challenges arise from people who are still unfamiliar with technology, requiring further efforts in assisting the use of the application. Resources, such as a lack of budget and dedicated teams can hinder effective implementation. Although existing teams have been empowered in the past, further attention needs to be paid to the balance of quality and quantity of human resources. The disposition of Disdukcapil officers in helping people activate IKD is positive. Within the bureaucratic structure, despite the shortage of personnel, coordination and division of labor are quite good. This research uses qualitative research methods by obtaining primary data in the form of interviews at the Tanjungpinang City Population and Civil Registration Office directly and documentation, as well as secondary data obtained from media information, the internet and other documents. In conclusion, the implementation of IKD faces several obstacles, but good communication and disposition efforts show seriousness in realizing the success of the program. Suggestions that the author can give are for the Disdukcapil of Tanjungpinang City to increase the effectiveness of implementation through strengthening communication, increasing human resources, and evaluating the bureaucratic structure on going basis.

Mustari; Nurjannah; Nur Arisah; Ratnah S; Nahriana

JURNAL PENGABDIAN MASYARAKAT AKADEMISI (JPMA), 2024 CV. ALIM'SPUBLISHING

One activity that can increase the entrepreneurial spirit of the community is a home industry business or what is usually called a home business in making Banana Flavored Chips (KRISANGRA). Processing of higher quality banana chip products and a more contemporary design. As globalization progresses, society will be able to provide the ever-increasing need for nutritious food that everyone needs to be healthy. An opportunity for the general public to start a simple food or snack business with many banana-based preparations. With innovation and increasingly developing times, these banana chips are prepared with various flavors like the ones we make, especially balado, chocolate and cheese milk, suitable as snacking companions. Various flavors of banana chips are one of the snack products that is most popular with consumers in various circles. The methods used in this activity include lectures, questions and answers or discussions, and training. The results obtained were (1) Training on making Flavored Banana Chips (KRISANGRA) was responded well by participants; (2) The high interest and motivation of the training participants really supports the transfer of knowledge and skills from the service to the training participants, so that the training material provided can be absorbed by all; and (3) The training product for making Flavored Banana Chips (KRISANGRA) can be consumed daily and can be used as an entrepreneurial product

Arih Setyaningrum; Evi Satispi

CiDEA Journal 2024 Universitas 17 Agustus 1945 Semarang

As an embodiment of e-government the Directorate General of Population and Civil Registration of the Ministry of Home Affairs launched the e-Office system, this system was built to improve the quality of public services in terms of correspondence, communication between regions online or digitally, in its implementation there are various problems from the provider side Such services include long bureaucratic processes. The aim of this research is to analyze how Atandie e-Office is implemented at the Directorate General of Dukcapil, Ministry of Home Affairs. The research method used is descriptive with a qualitative approach and data collection techniques through interviews and observation. This research uses indicators of e-government implementation according to Indrajit (2005:13). The results of this research show that content development has been carried out for e-Office development since 2021-2022 and there will still be final development in 2023, competency building training that has already been carried out, The connectivity of the infrastructure provided is sufficient as seen from the large server capacity provided, but we still have to add a backup server, cyber laws, the legal regulations underlying e-Office are quite strong with Minister of Home Affairs Regulation N0.7 of 2019 concerning Online Population Administration Services, citizen interfaces Staff procurement is carried out approximately once a year in two ways, capital in terms of the budget applied for the construction and development of e-Office is sufficient.

Ulfatus Solikha; Muhammad Isa Anshori

Manajemen Kreatif Jurnal (MAKREJU) 2024 Pusat Riset dan Inovasi Nasional

This study investigates the factors that influence the formation of PT's corporate image. Pal Indonesia (Persero) and how this perception is related to employee work motivation. Through a literature analysis approach, this research analyzes the perceptions of various stakeholder groups, including prospective employees, customers, suppliers and the general public. The results of the analysis show that company reputation, product and service quality, relationships with stakeholders, organizational values, and commitment to social responsibility are the main factors that influence the company's image. Positive perceptions of the company's image can increase trust, reputation and support from various parties, which in turn can motivate employees to provide their best contribution. Conversely, negative or ambiguous perceptions can reduce employee interest and motivation. Therefore, company management must actively monitor and manage these factors, and strive to build good relationships with various stakeholders to create a motivating work environment that contributes to the company's long-term success.

Aldinar Assyafiq Akbar; Imam Nuryanto

Jurnal Ekonomi dan Keuangan 2024 Asosiasi Riset Ekonomi dan Akuntansi Indonesia

This study aims to identify the service attributes that are important to consumers using the servqual integration method and cartesian diagrams. With the help of the SPSS tool, 120 respondents were surveyed. The results show that the quality of service provided by Tirta Moedal Water Company is good, with an average performance score of 3.5 on a scale of 1 to 5. The dimensions that need to be improved are responsiveness and empathy. These attributes include the process of handling complaints, providing information during maintenance, the speed of responding to customer complaints, the ability of employees to listen to customer complaints, and the availability of consultation and complaint services for consumers. This study is expected to help improve service quality and maintain existing attributes.

Nurlaila Nurlaila; Zuriatin Zuriatin; Nurhasanah Nurhasanah

Public Service And Governance Journal 2024 Universitas 17 Agustus 1945 Semarang

The urgency of this research lies in the importance of digital transformation in enhancing the quality of public services in Bima Regency. This study employs a qualitative descriptive approach to explore digital transformation in public services in Bima Regency. The research subjects involve local government officials, SKPD employees, and the general public to obtain a broad perspective on the obstacles and solutions in digital transformation. The research findings indicate that the implementation of e-Government faces various significant challenges, including accessibility, digital literacy, cultural and organizational changes, official support, and budget allocation. Bima Regency requires an inclusive and affordable approach to develop e-Government services accessible to all layers of society, including those in remote areas and vulnerable groups. Digital literacy emerges as a crucial factor in confronting digital transformation, and structured digital literacy programs can assist the public and government employees in acquiring the necessary knowledge and skills. Cultural and organizational changes are also vital in adopting e-Government, necessitating organizational restructuring, capacity building, and continuous learning. Support from officials and public awareness are also crucial factors in the successful implementation of e-Government. With commitment from officials and public awareness of the benefits of e-Government, local governments can accelerate technology adoption and ensure widespread participation from all layers of society. Additionally, adequate budget allocation is crucial in supporting the development of e-Government, enabling the construction of robust technological infrastructure and enhancing service accessibility.

Lanjar Sari; Halisa Putri

Repeater : Publikasi Teknik Informatika dan Jaringan 2024 Asosiasi Riset Teknik Elektro dan Informatika Indonesia

The implementation of e-government in public services in the Regional Government is expected to produce faster, better, and more efficient public services, and can improve the application of the principles of good governance. In the context of Riau Islands, the implementation of e-government is very important considering the geographical condition of this area which consists of many islands. With e-government, people in Riau Islands can access public services online without having to travel far to the government center. This research aims to analyze the implementation of e-government in improving public services in the Riau Islands regional government. The research method used is a descriptive method with a qualitative approach. Data were collected through interviews with relevant parties, direct observation, and documentation studies. Based on the results of this study, it is recommended that the Riau Islands regional government continue to improve the implementation of e-government by strengthening information technology infrastructure, increasing people’s digital literacy, and conducting regular evaluations of the quality of public services provided through e-government. In addition, cooperation with related parties, both internal and external, also needs to be improved to ensure the success of e-government implementation in improving public services in the Riau Islands regional government.

Aslan Aslan; Hamka Hamka; Andi Bustan Didi

Venus: Jurnal Publikasi Rumpun Ilmu Teknik 2024 Asosiasi Riset Ilmu Teknik Indonesia

One of the modes of transpotation available at the Central Market of Polewali Mandar District is a motorized rickshaw. Motorized becak is a modification of traditional becak with motorized vehicles such as motorcycles. The benefits of this research are for consideration by motorized pedicab drivers in order to improve the quality of service to passengers. The results of the analysis using the help of SPSS version 26 software from 100 questionnaire samples distributed with reference to the three factors in this study, namely service quality, safe and comfortable, and bentor tariffs are able to influence the ups and downs of public satisfaction with motorized rickshaw services by 65.6%. Then in partial testing or t test shows that the service quality variable has a result of 0.974, the safe and comfortable variable is 2.342 and the bentor tariff variable with a result of 6.705. This shows that the bentor tariff variable is the factor that is most able to influence the satisfaction of motorized rickshaw consumers in the Central Market of Polewali Mandar Regency.

M. Reza Shah Pahlevi; Khairul Amri

The unresolved problem of street vendors on H.R. Soebrantas Street is a dilemma. City planning problems and public order disturbances are always caused by the presence of street vendors. The Pekanbaru City Civil Service Police Unit, which assists the regional government in securing and enforcing regional government policies specifically in the field of public order, has often carried out enforcement for the sake of controlling, which is a supporting element for the regional government's duties. secure and implement regional government policies specifically in the field of public order. This research aims to determine the performance of the Civil Service Police Unit in controlling street vendors on Jalan H.R Soebrantas, Tampan/Binawidya District, Pekanbaru City. Apart from that, this research aims to determine and analyze the inhibiting factors in the process of controlling street vendors by the Civil Service Police Unit on Jalan H.R Soebrantas. This research uses Agus Dwiyanto's theory which uses indicators: Productivity, Service Quality, Responsiveness, Responsibility and Accountability. This research method uses qualitative methods and descriptive research which was carried out at the Pekanbaru City Civil Service Police Unit Office and on Jalan H.R Soebrantas. From the results of measurements of each sub-indicator of the research carried out, it can be stated that street vendor control activities by civil service police units have been implemented but are included in the Ineffective and Not Optimal category because there are still obstacles faced in the field, namely: lack of awareness among Street vendors understand Pekanbaru city regional regulations, lack of space to relocate traders on Jalan H.R Soebrantas, no monitoring post to supervise street vendors, and lack of facilities and infrastructure for controlling street vendors

Erinaldi Erinaldi; Lili Suryani; Riniyah Sabah

International Journal of Social Science and Humanity 2024 Asosiasi Penelitian dan Pengajar Ilmu Sosial Indonesia

This study examines the quality of outpatient public services for BPJS Health patients at the Regional General Hospital of Dumai City. The purpose of this research is to assess how service quality is experienced by patients and how effectively outpatient services are delivered. A qualitative descriptive approach was used, with data collected through direct observation, in-depth interviews, and documentation. Informants included outpatient service staff and BPJS patients selected purposively to represent both service providers and service users. The analysis focuses on five dimensions of service quality: physical facilities, service reliability, responsiveness, assurance, and empathy. The results indicate that outpatient services are generally perceived as adequate, particularly in terms of physical facilities, diagnostic accuracy, and staff professionalism. However, delays in registration and service processes remain a major concern, mainly due to high patient volume and administrative procedures. In addition, differences in staff communication and interpersonal attitudes lead to variations in patient experiences. Overall, the study highlights the importance of improving service responsiveness and strengthening empathetic communication to enhance patient satisfaction and the effectiveness of public hospital outpatient services.

Nurmala Sari; Lili Suryani; Fazira Fazira; Nurmanzila Nurmanzila

Jurnal Pengabdian Masyarakat Indonesia Sejahtera 2024 STAI YPIQ BAUBAU, SULAWESI TENGGARA

Public health is a fundamental pillar of regional development as it directly affects the quality of life, productivity, and social welfare of the community. At the local level, the village head (lurah) plays a strategic role in encouraging community participation and coordinating public health programs. This Community Service Program (PKM) aims to analyze the role of the village head in improving public health through a public administration approach in Bumi Ayu Subdistrict, Dumai City. The methods applied in this program include counseling, training, simulation, and free health screening services using an educational approach. The activity was conducted on July 20, 2024, at STIA Lancang Kuning Campus and involved more than 100 participants from various community groups. The results indicate an increased public awareness of the importance of regular health check-ups and early detection of non-communicable diseases such as hypertension, diabetes, cholesterol, and uric acid disorders. In addition, the program strengthened the roles of the village heads, Posyandu cadres, and PKK members in supporting community health services. The discussion reveals that the success of public health programs at the subdistrict level is strongly influenced by participatory, collaborative, and responsive local leadership. This PKM activity is expected to serve as a model for strengthening the role of local government in promoting sustainable community health development.

Erinaldi Erinaldi; Dede Mirza; Sutrisno Sutrisno; Delfira Nurroma

Jurnal Pengabdian Masyarakat Indonesia Sejahtera 2024 STAI YPIQ BAUBAU, SULAWESI TENGGARA

Health services are one of the fundamental needs of society and play a crucial role in determining quality of life and social welfare. However, limited access to routine health check-ups and low public awareness of the importance of early disease detection remain significant challenges in many areas, including Bumi Ayu Village. This Community Service Program (PKM) aims to establish a partnership between STIA Lancang Kuning, local health centers, and the community to improve health services through basic health examinations. The program was implemented using health education sessions, interactive discussions, and continuous monitoring and evaluation. The health examinations included blood glucose, cholesterol, blood pressure, and uric acid checks. The results indicate an improvement in community knowledge and awareness regarding the importance of routine health examinations as a preventive measure against disease. Active community participation throughout the program reflects positive acceptance of the established partnership model. This activity demonstrates that collaboration between higher education institutions, health professionals, and the community can serve as an effective strategy to enhance the quality of local health services.