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Nurhikmah; Dika Tripitasari; Muhdin

AL-MUSTAQBAL: Jurnal Agama Islam 2025 STIKes Ibnu Sina Ajibarang

Student engagement plays a pivotal role in determining the effectiveness of Islamic Religious Education (IRE), particularly in moral education that seeks to internalize ethical values and shape students’ character. However, empirical evidence from elementary school contexts indicates that low levels of engagement often hinder meaningful learning outcomes. This study examines the issue of limited student engagement in IRE learning on Morality in Daily Social Interaction and its implications for students’ conceptual understanding. Employing a descriptive qualitative approach, data were collected through classroom observations, semi-structured interviews, and document analysis at SDN 38 Bonto Perak, Pangkep Regency. The findings reveal that low student engagement is primarily associated with teacher-centered instructional practices, limited use of learning media, and insufficient variation in instructional stimuli, resulting in superficial understanding of moral concepts. To address these challenges, this study proposes two integrated instructional strategies. The first is a constructivist approach through the implementation of the Jigsaw Cooperative Learning model, which facilitates active participation, peer interaction, and collaborative knowledge construction. The second is a behaviorist approach through the application of positive reinforcement and varied instructional stimuli, including verbal praise, simple rewards, visual media, and context-based narratives relevant to students’ daily experiences. These strategies are expected to enhance students’ cognitive, affective, and behavioral engagement, thereby strengthening conceptual understanding and supporting the internalization of moral values in IRE learning. This study contributes to pedagogical discourse by offering a contextual instructional framework for improving student engagement in elementary-level moral education

Ratih Adinda Destari

Neptunus: Jurnal Ilmu Komputer Dan Teknologi Informasi 2025 Asosiasi Riset Teknik Elektro dan Informatika Indonesia

The exchange of information in the digital era has become a general need for society. However, the information sent often has a public or confidential nature. Therefore, security is needed so that confidential information remains safe. Cryptography is a field of knowledge used to secure information using encryption and decryption processes. One of the cryptographic methods used is the permutation method, which changes the layout, sequence, or structure of data into a form that is difficult to understand without knowledge of the exact key. Implementing cryptography using the permutation method in Android-based applications can increase the security and privacy of user data, as well as protect sensitive information from unauthorized access. This research aims to implement permutation method cryptography in Android-based applications to protect the confidentiality or privacy of user data. By using the permutation method, the sequence of bits or characters in the data is scrambled so that it is difficult for unauthorized parties to understand. The research results show that the implementation of permutation method cryptography in Android applications can provide a higher level of security in maintaining data confidentiality. However, it is worth considering that simple permutation methods may not be secure enough to deal with more sophisticated attacks. Therefore, choosing a stronger cryptographic method needs to be considered to achieve a higher level of security. In conclusion, implementing cryptography using the permutation method in Android-based applications can increase the security and privacy of user data. The permutation method is able to randomize the sequence of bits or characters in the data so that it is difficult for unauthorized parties to understand. However, for a higher level of security, it is necessary to consider stronger cryptographic methods.

Indra Abdam Muwakhid; Dewi Nurdiyah

Nusantara Mengabdi Kepada Negeri 2025 Asosiasi Peneliti dan Pengajar Ilmu Hukum Indonesia

Digital transformation has reshaped community life by increasing internet dependency in daily communication, financial transactions, and public services. However, this rapid development has also intensified cybersecurity risks, particularly link-based scams and the misuse of Artificial Intelligence (AI). Limited digital literacy at the family level makes communities vulnerable to phishing attacks, personal data breaches, and AI-generated fraud. This community service program aimed to strengthen digital literacy among residents of RW 03 Kalipancur, Semarang, through participatory education focusing on link scam detection and responsible AI usage. The program involved interactive lectures, case discussions, simulations, and pre-test and post-test evaluations with 18 participants from family groups, PKK cadres, and elderly residents. The results showed a significant increase in understanding, from an average pre-test score of 43% to a post-test score of 84%. Beyond knowledge improvement, participants demonstrated increased awareness and behavioral change toward safer digital practices. The findings suggest that community-based participatory approaches effectively enhance family-level digital resilience and can serve as a replicable empowerment model in other communities facing similar digital threats.

Yessy Aprihatin; Aisyah Putri Gutawa; Aulia Bunga Adri Elisa; Farel Irvan Orvala; Ilyasa Putra +1 more

Nusantara Mengabdi Kepada Negeri 2025 Asosiasi Peneliti dan Pengajar Ilmu Hukum Indonesia

The Community Service Program (Kuliah Kerja Nyata/KKN) implemented in Jorong Padang Rantang, Nagari Koto Tuo, Lima Puluh Kota Regency, represents a tangible contribution of university students in supporting the acceleration of stunting reduction at the local level. This community service activity focused on stunting prevention socialization targeting mothers of toddlers as the primary target group. An educational and participatory approach was employed to encourage active engagement of participants throughout all stages of the activity. The socialization materials covered the definition of stunting, its causes and impacts on child growth and development, the importance of adequate and balanced nutrition, appropriate parenting practices, and the strategic role of families during the First 1,000 Days of Life (1,000 HPK).The implementation of the activity involved cadres from the Amanah Bunda Integrated Health Post (Posyandu), village midwives, and KKN students from Universitas Negeri Padang as facilitators. The methods applied included interactive lectures, group discussions, and simple simulations related to nutritional practices and healthy parenting. The results indicated an increase in participants’ knowledge, awareness, and active community participation in early stunting prevention efforts. Furthermore, the activity strengthened the role of the Posyandu as a primary center for basic health services and community education. This community service initiative is expected to serve as a sustainable community-based intervention model that can be replicated in other areas facing similar challenges.

Intan Kumalasari; Agi Husnah Indragati; Ahmad Sauqi; Anisa Pratiwi; Caroline Dwi Nanda +3 more

Nusantara Mengabdi Kepada Negeri 2025 Asosiasi Peneliti dan Pengajar Ilmu Hukum Indonesia

Health communication and community empowerment are crucial for improving health outcomes at the primary health care level. As a primary health care facility, the Empat Ulu Community Health Center in Palembang plays a strategic role in disseminating health information, strengthening community capacity, and promoting healthy lifestyles through various educational activities. The Field Learning Practice (PBL) activity, conducted by students within the community health center's work area, aimed to strengthen the implementation of health communication, particularly in promoting Clean and Healthy Living Behavior (PHBS) in elementary schools. The methods used included field observation, discussions, face-to-face counseling, handwashing demonstrations, and the distribution of educational media. The results showed an increase in students' understanding of PHBS, demonstrated by their ability to answer questions, practice handwashing correctly, and their enthusiasm during interactive sessions. This activity not only strengthened students' knowledge but also demonstrated that a two-way communication approach and the use of simple visual media can enhance the effectiveness of health education. Overall, this PBL activity contributed to supporting the community health promotion program and strengthened the role of students in encouraging community self-reliance in maintaining health.

Fitri Rahmawati; Titin Ekowati

Master Manajemen 2025 Fakultas Ekonomi & Bisnis, Universitas Nusa Nipa

This study aims to analyze the development of Human Resources (HR) and employee performance in improving skills, abilities and behavior so as to improve their performance in carrying out the operations of the Village-Owned Enterprise (BUMDes) of Jatirejo Lendah Kulon Progo Village. The method in this study is a qualitative descriptive method. The data collection techniques used in this study are observation, interviews and documentation. The sample in this study amounted to 7 respondents. While the analysis technique uses a deductive method that analyzes general data to draw specific conclusions. The results of the study indicate that human resource development in improving the performance of BUMDes employees is very important in an organization, Human resources in an organization must have training, knowledge, skills and motivation. Human resource development through education, there are still employees with Junior High School (SMP) education, training has been carried out with Kulon Progo district and D.I. Yogyakarta provincial level, but not all employees participate regularly skills, in general employees have good work skills, although not optimal. Based on the analysis of human resource development to improve employee knowledge, skills and motivation so that they can carry out their duties and responsibilities well.  

Rizal Akbar; Widya Hasian Situmeang; Edi Wiraguna

Hidroponik : Jurnal Ilmu Pertanian Dan Teknologi Dalam Ilmu Tanaman 2025 Asosiasi Riset Ilmu Tanaman Dan Hewani Indonesia

This research program aimed to improve farmers’ understanding of the Jajar Legowo rice planting system and to analyze the factors influencing their perceptions. The program was conducted with the Sukatani Farmer Group in Tukdana Village, Indramayu Regency, using a mixed-method approach that combined observation, interviews, and questionnaires with 30 farmers. The results showed that farmers’ knowledge of the Jajar Legowo system was relatively low (54.17%), while their attitude was in the moderate category (58.92%). Correlation analysis revealed a strong relationship between knowledge and attitude (r = 0.672), which together shaped farmers’ perceptions of the system. Further analysis indicated that only land area had a significant influence on farmers’ perceptions, while age and education level showed no significant effect. Qualitative findings also revealed that farmers’ perceptions were influenced by direct farming experience, agricultural extension activities, institutional support, and social influence from leading farmers. Based on these findings, efforts to increase the adoption of the Jajar Legowo planting system require participatory extension strategies, hands-on demonstrations, and strengthened farmer group involvement.

Deby M Kewilaa

Komunitas: Hasil Kegiatan Pengabdian Masyarakat Indonesia 2025 Asosiasi Riset Ilmu Tanaman Dan Hewani Indonesia

Break-even point analysis is conducted to assess a company's performance, providing insight into the importance of financial bookkeeping and economic analysis. It can also be used as a consideration for entrepreneurs in making decisions related to sales activities. Break-even point refers to a concept used in financial planning to determine the level of sales or revenue required to cover all costs and expenses, resulting in zero profit or loss. The PKM training is conducted in three stages: the preparation stage, where an initial survey is conducted to determine participants' knowledge of the Break-Even Point (BEP) calculation. The implementation stage, where training is provided to all fishermen on the BEP calculation. The monitoring and evaluation stage, where the implementation of the BEP calculation is monitored and the fishermen's understanding of the break-even point is evaluated. Break-even point (BEP) training is expected to improve business owners' and crew members' understanding of the BEP concept and enable them to apply BEP calculations in decision-making.

Eva Dona Sinaga; Ali Imran Sirait; Marta Armita Silaban; Sella Pratiwi

Jurnal Pengabdian Sosial 2025 Lembaga Pengembangan Kinerja Dosen

Posyandu, as a form of community-based health efforts, plays a crucial role in improving maternal and child health. However, its implementation in the Mutiara Community Health Center (Puskesmas Mutiara) in Asahan Regency still faces various challenges, such as low cadre capacity, suboptimal service quality, and limited community participation. This community service activity aims to strengthen cadre capacity through Posyandu revitalization as an effort to improve the quality of basic health services. A total of 63 Posyandu cadres participated in the activities, which were implemented through counseling, education, and coaching using revised service standard guidelines. This program was implemented through four stages: preparation, implementation, analysis of results, and evaluation. Improvement in cadre knowledge was measured using pretests and posttests. The results of the activity showed a significant increase in the level of knowledge of cadres, as seen in the change in assessment categories from the majority being in the "poor" category during the pretest to "sufficient" and "good" in the posttest. This indicates that the education and coaching provided were effective in improving cadres' understanding and skills. Increasing cadre capacity is expected to improve the quality of Posyandu services, increase public trust, and support efforts to reduce morbidity and mortality in the Mutiara Community Health Center's work area. Cross-sector collaboration and ongoing mentoring are needed to maintain the sustainability of Posyandu revitalization.

Adila Solida; Evy Wisudariani; Fajrina Hidayati

Jurnal Pengabdian Sosial 2025 Lembaga Pengembangan Kinerja Dosen

The prevalence of hypertension in Jambi City has continued to increase over the past five years, including in the Simpang Kawat Community Health Center (Puskesmas Simpang Kawat). Meanwhile, the cost of hypertension care and treatment for the community is relatively high, especially if complications arise and are not covered by insurance, which can lead to catastrophic expenses that weaken households' economic conditions. This community service activity aims to provide education and outreach regarding hypertension and its impact on healthcare costs. Thirty people with hypertension in the Simpang Kawat Community Health Center (Puskesmas Simpang Kawat) participated in the activity. The core activities included providing information about hypertension and its consequences on healthcare costs, anti-hypertension exercises, outreach regarding the risk of catastrophic expenses, and explanations of various government support programs. The results showed that 80% of participants experienced a significant increase in knowledge, and there was a difference in knowledge levels between before and after the implementation of the Community Health Center (PPM) (p=0.000). The government and the Community Health Center are recommended to strengthen campaign efforts to encourage the community to adopt a healthy lifestyle and actively participate in health programs that can help reduce healthcare costs and avoid catastrophic expenses

Ketut Ayu Lestari Windhradhi; Anny Eka Pratiwi; Dewa Ayu Putu Ratna Juwita

Jurnal Inovasi Riset Ilmu Kesehatan 2025 Pusat Riset dan Inovasi Nasional

Cervical cancer remains a major public health problem and is one of the leading causes of cancer-related mortality among women in Indonesia. Early detection through Visual Inspection with Acetic Acid (VIA) is an effective and feasible screening method at the primary health care level. However, the coverage of VIA screening among women of reproductive age (WRA) remains low. Knowledge is considered an important predisposing factor that may influence women’s motivation to undergo VIA screening. This study aimed to analyze the association between cervical cancer knowledge and motivation to undergo VIA screening among women of reproductive age. This study employed a quantitative analytic design with a cross-sectional approach. A total of 105 women of reproductive age were recruited using consecutive sampling at the Payangan Community Health Center, Gianyar Regency, Indonesia. Data were collected using validated and reliable structured questionnaires measuring cervical cancer knowledge and motivation to undergo VIA screening. Univariate analysis was performed to describe respondent characteristics, while bivariate analysis using the chi-square test was applied to examine the association between knowledge and motivation at a significance level of 5%. The results showed that 61.9% of respondents had good knowledge of cervical cancer, while 52.4% demonstrated low motivation to undergo VIA screening. A statistically significant association was found between cervical cancer knowledge and motivation to undergo VIA screening (p = 0.043). Women with higher levels of knowledge tended to have greater motivation to participate in VIA screening. In conclusion, cervical cancer knowledge is significantly associated with motivation to undergo VIA screening among women of reproductive age. These findings suggest that strengthening health education interventions at primary health care facilities is essential to enhance motivation and increase participation in early cervical cancer detection programs.

Natasya, Novyra Tedi; Linda, Nuramal; Dalimunthe, Riska Aulia; Siregar, R. Maisaroh Rezyekiyah

Jurnal Pengabdian Sosial 2025 Lembaga Pengembangan Kinerja Dosen

In the era of globalization, university graduates are required to have the ability to implement knowledge in real practice, which is realized through the Field Work program. This study aims to evaluate the compliance of Task Force reporting at PT PLN (Persero) North Sumatra Main Distribution Unit (UID North Sumatra). The method used is a quantitative approach with K-Means Clustering. Compliance reporting data was obtained from internal company documents, which then went through the preprocessing and clustering stages using the K-Means algorithm, with the determination of the optimal cluster number through the Elbow and Silhouette methods. The K-Means clustering analysis results identified two groups of units with different levels of compliance. Cluster 2, consisting of UP3 Binjai and UP3 Sibolga, showed a higher and more consistent level of reporting compliance. In contrast, Cluster 1 (including UP2D, UP3 B. Barisan, UP3 L. Pakam, UP3 Medan, UP3 Medan Utara, UP3 Nias, UP3 P. Sidimpuan, UP3 P. Siantar, and UP3 Prapat) had a tendency for lower compliance. This finding indicates a difference in reporting consistency that affects the effectiveness of work safety supervision. The K-Means method is proven to help PLN management identify units with low compliance, allowing corrective actions to be prioritized appropriately.

Aditya Dwi Christanto; Haryani Haryani

JURNAL EKONOMI MANAJEMEN AKUNTANSI 2025 sekolah Tinggi Ilmu Ekonomi Dharma Putra Semarang

This study aims to analyze the influence of the work environment, training, and incentives on employee performance at PT. Erela Semarang. The research population includes 877 production employees working at the company. A random sampling technique was applied to ensure representative data, resulting in a sample of 100 production employees. The study adopts a quantitative approach, with data analyzed using multiple linear regression to examine the relationship between the independent variables and employee performance as the dependent variable. The findings reveal that the work environment has a positive and significant effect on employee performance, indicating that comfortable and supportive workplace conditions can improve productivity and job outcomes. In addition, training is proven to have a positive impact on employee performance, showing that skill development and knowledge improvement contribute to better work effectiveness. Furthermore, incentives also demonstrate a positive influence on employee performance, suggesting that financial or non-financial rewards can motivate employees to achieve higher performance levels and support organizational goals.

Azmi Syafanah Nur Hasna; Ikhsan Gatot Aji Prasetio; Iik Nurul Fatimah; Euis Aprianti

Jurnal Riset Rumpun Matematika dan Ilmu Pengetahuan Alam 2025 Pusat riset dan Inovasi Nasional

Air pollution is an increasingly serious environmental issue in major cities, including Serang City. The decline in air quality due to motor vehicle emissions, industrial activities, waste incineration, and the reduction of green open spaces harms public health and the environment. Polluted air can cause respiratory problems, reduce the quality of life, and threaten urban ecosystems. This study aims to analyze the level of knowledge, perceptions, and behaviors of Serang City residents regarding air pollution, as well as assess their support for air pollution control policies. The methods used include a mixed-method approach through questionnaires, in-depth interviews, and participatory observation. The results of the study show that the community has a good understanding of the sources of air pollution, particularly vehicle and industrial emissions. They are also aware of the impact of pollution on health, especially for children and the elderly. However, the implementation of protective behaviors such as wearing masks is not yet consistent. Some positive behaviors have begun to develop, such as not burning trash and planting plants at home. Support for pollution control policies is also high. This study emphasizes the importance of continuous education, law enforcement, and collaboration between the government, society, and environmental communities in efforts to mitigate air pollution in Serang City.  

Dedianto Dedianto

International Journal of Health and Medicine 2025 Asosiasi Riset Ilmu Kesehatan Indonesia

This study explores the satisfaction levels of health science students with their clinical practice experiences at Prabumulih City General Hospital. Clinical practice serves as a vital component of health education, enabling students to apply theoretical knowledge in real healthcare settings. Using a qualitative phenomenological approach, the research sought to gain an in-depth understanding of students’ subjective experiences. Data were collected through in-depth interviews, focus group discussions, and participatory observations with students undergoing clinical practice. Thematic analysis and data triangulation ensured the validity of findings. Results revealed that students’ satisfaction was influenced by hospital facility quality, guidance from medical staff and lecturers, and interactions with patients and their families. Moreover, challenges in managing clinical cases and the social support received also shaped students’ satisfaction. The study recommends improving clinical practice facilities, strengthening supervision and mentoring by medical personnel, and providing greater institutional support. It also suggests that health education institutions design clinical practice programs more closely aligned with student needs and professional expectations.

Rossa Rikha Putri Rachim; Sabrina Sofi Qadirfa

Nusantara: Jurnal Pengabdian kepada Masyarakat 2025 Pusat Riset dan Inovasi Nasional

Parenting communication literacy is a fundamental competence that influences children’s growth in cognitive, emotional, and social domains. Initial findings at Posyandu Teratai, South Tangerang, revealed that many mothers still relied on authoritarian and less dialogical communication, which limited children’s confidence and engagement. In response, the Community Service (PKM) team of Universitas Pamulang implemented a program entitled Optimizing Parenting Communication Literacy through Digital Media. The activities were designed using participatory strategies such as lectures, interactive group discussions, simulation exercises, and the dissemination of digital learning materials in the form of modules and videos. The program outcomes demonstrated considerable improvement in mothers’ knowledge and attitudes toward positive communication practices, including the ability to listen actively, provide encouragement, and employ digital platforms as continuous learning resources. Furthermore, the integration of digital tools enabled mothers to access and exchange information beyond formal training sessions. The broader impact of the program was the establishment of a collaborative learning community at Posyandu, which not only supported families in applying positive parenting approaches but also reinforced community-level awareness of effective communication in child-rearing.

Muhammad Reza Pahlevi; Muhammad Rizqi; Damas Bhanuarta; Muhammad Akhsan Daffala; Ito Setiawan

Merkurius : Jurnal Riset Sistem Informasi dan Teknik Informatika 2025 Asosiasi Riset Teknik Elektro dan Informatika Indonesia

This study aims to formulate an information technology development strategy for CV. Situsindo Prima using the VRIO (Value, Rarity, Imitability, Organization) and SWOT (Strengths, Weaknesses, Opportunities, Threats) approaches. CV. Situsindo Prima is a company engaged in Software Development and IT Consulting, focusing on providing technological solutions for both public and private sectors in Purwokerto, Indonesia. The research employs a qualitative descriptive approach by utilizing secondary data obtained from the company profile, literature reviews, and previous studies relevant to strategic information systems management. The results indicate that the company possesses several competitive advantages derived from its competent human resources, strong project reputation, and well-established relationships with public institutions. The VRIO analysis reveals that these resources have significant strategic value and potential for sustainable competitive advantage if supported by an effective organizational system. The SWOT analysis further identifies that internal strengths can be leveraged to capture external opportunities, such as the increasing demand for digital transformation and government support for technological innovation. The formulated strategies include developing a knowledge management system, implementing Service Level Agreements (SLA) for after-sales services, innovating products based on cloud computing and Internet of Things (IoT), and enhancing human resource capabilities through training and certification programs. In conclusion, this research successfully achieved its objectives by producing a comprehensive and applicable IT development strategy for CV. Situsindo Prima. The findings are expected to serve as a reference for strategic planning and strengthening competitive advantage within the digital transformation era.

Muhamad Aziz Zulkifli; Siti Napisah; Bagas Olanda; Andini Fahyuni

FUNDAMENTUM : Jurnal Pengabdian Multidisiplin 2025 Asosiasi Peneliti Dan Pengajar Ilmu Sosial Indonesia

his community service activity was carried out in Sukajaya Village, Pulau Besar District, Bangka Selatan Regency on August 15, 2025, aiming to enhance the capacity of Micro, Small, and Medium Enterprises (MSMEs) to level up through strengthening business legality and marketing strategies. The main problems faced by local MSMEs are the lack of understanding regarding the importance of Business Identification Numbers (NIB), limited awareness of trademark protection, and insufficient knowledge of modern marketing strategies. The activity was implemented using a participatory approach through counseling, group discussions, and hands-on practices, including NIB registration, introduction to trademark protection procedures, and digital marketing training. The results show an increased understanding and awareness among MSME actors regarding the importance of business legality for accessing financing and cooperation, better legal awareness of trademark protection as a product identity, and basic skills in utilizing social media and digital platforms as marketing tools. These outcomes demonstrate that the activity significantly contributes to strengthening MSME capacity in Sukajaya Village to become more competitive and contribute to local economic development.

Avian Tri Wahyudi; Arif Arika Sendi; Siti Qoyimah; Niken Dyahariesti; Jatmiko Susilo

Jurnal Siti Rufaidah 2025 PPNI UNIMMAN

This study aims to analyze the effect of the use of Health Information Media in the form of leaflets on the level of patient knowledge about influenza in pharmacies Ngudi Waluyo, Ungaran. Leaflet Media is used as an educational tool to improve patient understanding related to influenza, including aspects of causes, symptoms, complications, and management and treatment. The type of research used is quasi experiment with pre-test and post-test design, involving 94 respondents who meet the inclusion criteria. Data analysis was conducted using the Wilcoxon statistical test to determine the difference in the level of knowledge of patients before and after education. The results showed a significant increase in the level of knowledge of patients after obtaining education using leaflets. Before being given education, respondents with a good knowledge level category were 56.7%, and increased to 96.8% after providing education, with a value of p = 0.001 (p < 0.05) which showed a significant difference between the two measurements. Thus, the Health Information media in the form of leaflets proved effective in increasing patient knowledge about influenza and can be used as an alternative educational media that is simple, practical, and efficient in supporting pharmaceutical services in pharmaceutical service facilities.

Yoga Saputra; Muhammad Syafa’atul Fitrah. Zm; Meisya Apriyanti; Suci Rabila Siregar; Qayla Meylani

Jurnal Ilmu Kesehatan Umum, Psikolog, Keperawatan dan Kebidanan 2025 Asosiasi Riset Ilmu Kesehatan Indonesia

The quality of service at community health centers is still often complained about by the public. Several studies show that the quality of health services at community health centers is closely related to the availability of quality health workers. The aim of the research is to determine various health human resource problems that arise in community health centers which can affect the quality of community health center services, and efforts to overcome various problems related to Human Resources management so that the quality of services at community health centers can be improved. The approach used is a descriptive analysis method. Data obtained from various literature is processed and analyzed qualitatively according to the problems and objectives that have been set. The results obtained show that there are Human Resource problems at the community health center which affect the quality of service, namely the lack of integration of the planning system and procedures for the distribution of health workers; lack of capacity of Human Resources planning units at all levels in the distribution of health workers; lack of good communication so that there are differences in understanding, information and knowledge about the distribution of health workers between planning units and health service providers; lack of support from regional government, planning that is not integrated at various levels of administration in regional government as well as lack of implementation and budgeting of training for health workers at community health centers