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Tuberculosis (TB) remains a global and national health issue. Sijunjung Regency has seen an increase in TB cases, with fluctuating treatment success rates. Medication adherence is a key factor in treatment success and is influenced by the quality of health care services. This study aims to analyze the quality of services regarding medication adherence among TB patients, explore patients’ perceptions, describe service factors influencing adherence, and understand the role of health workers from the patients’ perspective at Community Health Centers (Puskesmas) throughout Sijunjung District. This study employed a qualitative approach with a phenomenological design. The primary informants consisted of 8 TB patients, plus key informants (2 healthcare workers) and additional informants (2 family members). Data were collected through in-depth interviews, observations, and document reviews. Analysis utilized the Miles & Huberman model.Research results on the quality of healthcare services are related to the level of medication adherence in tuberculosis patients. The dimensions that contribute most to adherence are empathy, assurance, and responsiveness. Positive perceptions are seen in aspects of interpersonal relationships (friendliness, patience, effective communication) and logistical reliability (drug availability), while negative perceptions are related to the lack of privacy in waiting rooms, long administrative waiting times, and inflexible service hours for informal workers. Health service factors that influence adherence include continuous education and information, active supervision and monitoring, ease of service access, and support from healthcare workers. The role of healthcare workers in supporting patient adherence, according to the patient's perspective, is as educators and motivators.Based on this study, high-quality care particularly empathy, assurance, and responsiveness is crucial for patient adherence. Improvements to physical facilities and greater flexibility in service hours are needed.  

Tuberculosis (TB) remains a global and national health issue. Sijunjung Regency has seen an increase in TB cases, with fluctuating treatment success rates. Medication adherence is a key factor in treatment success and is influenced by the quality of health care services. This study aims to analyze the quality of services regarding medication adherence among TB patients, explore patients’ perceptions, describe service factors influencing adherence, and understand the role of health workers from the patients’ perspective at Community Health Centers (Puskesmas) throughout Sijunjung District. This study employed a qualitative approach with a phenomenological design. The primary informants consisted of 8 TB patients, plus key informants (2 healthcare workers) and additional informants (2 family members). Data were collected through in-depth interviews, observations, and document reviews. Analysis utilized the Miles & Huberman model.Research results on the quality of healthcare services are related to the level of medication adherence in tuberculosis patients. The dimensions that contribute most to adherence are empathy, assurance, and responsiveness. Positive perceptions are seen in aspects of interpersonal relationships (friendliness, patience, effective communication) and logistical reliability (drug availability), while negative perceptions are related to the lack of privacy in waiting rooms, long administrative waiting times, and inflexible service hours for informal workers. Health service factors that influence adherence include continuous education and information, active supervision and monitoring, ease of service access, and support from healthcare workers. The role of healthcare workers in supporting patient adherence, according to the patient's perspective, is as educators and motivators.Based on this study, high-quality care particularly empathy, assurance, and responsiveness is crucial for patient adherence. Improvements to physical facilities and greater flexibility in service hours are needed.  

This study aims to analyze the implementation of Total Quality Management (TQM) as a strategy for certification preparation in Islamic educational institutions. The research employed a qualitative approach using a library research method by reviewing relevant national and international journal articles, books, and scholarly documents related to quality management and educational certification. The collected data were analyzed using content analysis techniques to identify the concepts, principles, and implementation strategies of TQM in supporting certification readiness within Islamic educational institutions. The findings indicate that the implementation of TQM plays a strategic role in enhancing institutional readiness for certification through the strengthening of an internal quality assurance system that is structured, systematic, and sustainable. The application of TQM is based on the principles of customer focus, total involvement, continuous improvement, and data-driven decision-making. Implementation strategies include quality system standardization, human resource capacity building, regular internal evaluations and audits, and strengthening quality-oriented leadership. Consistent implementation of TQM not only supports successful certification processes but also fosters a sustainable quality culture that contributes to improving the competitiveness and overall quality of Islamic educational institutions. Therefore, TQM can serve as an effective framework for achieving continuous institutional development and maintaining educational excellence in a rapidly changing environment.

This study aims to analyze the influence of the implementation of the Internal Quality Assurance System (SPMI) and principal leadership on the quality of educational services in South Konawe Regency, Southeast Sulawesi. The research employed a quantitative descriptive approach with a survey design to obtain an empirical overview of the relationships among the variables examined. The population consisted of all principals at the elementary, junior high, senior high, and vocational high school levels, totaling 70 respondents. The sampling technique used purposive sampling based on specific criteria relevant to the research objectives. Data were collected through questionnaires that had been tested for validity and reliability to ensure the accuracy and consistency of the research instrument. Data analysis was conducted using multiple linear regression with the assistance of SPSS version 25.0. Prior to hypothesis testing, classical assumption tests were performed, including normality, multicollinearity, and heteroscedasticity tests, to ensure the feasibility of the regression model. Furthermore, the F-test was conducted to examine the model’s overall significance, while the t-test was used to determine the partial effect of each independent variable on the dependent variable. The results indicate that the implementation of SPMI and principal leadership have a positive and significant effect on the quality of educational services. These findings highlight the importance of strengthening managerial capacity and internal commitment in implementing SPMI, as well as enhancing principal leadership quality to continuously improve educational service standards and overall education quality.

This study aims to analyze the quality of services provided by education staff to students at the Faculty of Social Sciences, Puangrimaggalatung University by using a qualitative approach, through in-depth interviews and observations, this study explores students' views, experiences, and perceptions of various aspects of services provided by education staff, which include reliability, responsiveness, assurance, empathy, and physical evidence of Student Needs. The data obtained were analyzed with thematic analysis techniques to identify patterns and themes related to service quality. The results of this study show that although the majority of students are satisfied with the services received, there are several challenges that need to be considered, such as when they want to take the signature in question, and the attitude of empathy towards students is not even. This research provides important insights for the faculty to improve the quality of education staff services in order to better meet the needs and expectations of students, thereby creating a better academic experience.

This study aims to evaluate the quality of Trans Semanggi Suroboyo public transportation services with the support of the GoBis application system as a form of digital-based public service innovation in the city of Surabaya. The research method used is qualitative descriptive with the SERVQUAL (tangible, reliability, responsiveness, assurance, empathy) theoretical approach. The data used includes secondary data from the Surabaya Transportation Office, with the number of GoBis users reaching 327,018 people, GoBis balance users 42,833 people, and saving ticket users 2,095 people. The results of the study show that the tangible and reliability dimensions are relatively good, shown through modern fleet conditions and fairly consistent departure schedules. However, in the dimensions of responsiveness, assurance, and empathy, there are still obstacles related to the speed of response of digital systems, transaction security, and limitations of users' digital literacy. The utilization of GoBis' digital transaction feature is still low compared to the total number of application users. This study concludes that the success of Trans Semanggi Suroboyo is highly dependent on the integration between the quality of physical services and the effectiveness of the digital system. It is necessary to strengthen technological infrastructure, improve data security, and digital education for the public so that the quality of smart transportation in the city of Surabaya can run optimally and sustainably according to the principles of smart mobility.

This study analyzes the strategic role of quality-based marketing models in enhancing the competitiveness of kombucha products, with a specific focus on Rumah SCOBY DBA, produced by the Yayasan Dharma Bintang Akademia. By integrating Total Quality Management (TQM), Quality Assurance (QA), and Quality Control (QC), the research explores how quality-driven frameworks contribute to marketing effectiveness, consumer trust, brand positioning, and sustainable performance in the functional beverage industry. Employing a Systematic Literature Review (SLR) combined with conceptual analysis, the study systematically examined publications from 2015 to 2025 across leading academic databases, focusing on themes of quality management, functional beverage marketing, kombucha production, consumer behavior, and digital strategies. The findings reveal that product quality—characterized by fermentation stability, microbiological safety, and nutritional consistency—serves as the primary driver of consumer purchase intention. Process quality, through standardized SOPs, hygiene protocols, and traceability systems, reinforces credibility, while service quality, including transparent labeling, health education, and digital engagement, strengthens brand trust. Integrating TQM principles into marketing fosters consumer loyalty, differentiates brands in competitive markets, and supports long-term sustainability. This study provides practical guidance for producers, community-based enterprises, and policymakers to adopt quality-driven marketing models, offering a novel conceptual framework tailored to kombucha products and mapping future research directions in functional beverage innovation.

The growing demand for transparency, accountability, and measurable performance has transformed higher education institutions into complex public organizations required to deliver reliable and stakeholder-oriented services. Within this governance-driven environment, institutional governance plays a fundamental role in shaping service excellence and institutional legitimacy. Drawing on a public administration perspective, this study examines how governance dimensions influence academic service performance in higher education. This research employs a qualitative descriptive-analytical design. Data were collected through in-depth interviews, document analysis, and institutional observations involving university leaders, academic administrators, faculty members, and students. The analysis focuses on governance dimensions—transparency, accountability, participation, effectiveness, and responsibility—and their integration into institutional systems such as performance management, quality assurance, and digital infrastructure. The findings reveal that governance frameworks are formally established through regulations and digital systems; however, their operational integration remains uneven. Transparency improves service reliability when supported by consistent information management, while accountability mechanisms tend to emphasize procedural compliance rather than performance-based evaluation. Stakeholder participation is institutionalized but largely consultative. The study concludes that service excellence in higher education is a governance-driven outcome that requires systemic alignment between governance principles, institutional capacity, and performance management processes. Strengthened governance integration enhances service reliability and institutional legitimacy.

Higher education institutions are experiencing accelerated transformation driven by global competition, technological advancements, and shifting learner expectations. In this context, Internal Quality Assurance Cells (IQACs) serve a strategic role in enhancing teaching quality, strengthening learning processes, and ensuring curriculum relevance through the implementation of Outcome-Based Education (OBE) and pedagogical innovation. This study employs qualitative content analysis by synthesizing theoretical frameworks and recent empirical literature to develop an integrated model of IQAC-led academic transformation. The analysis highlights three key mechanisms: curriculum intelligence systems, pedagogical innovation ecosystems, and comprehensive faculty empowerment. Findings indicate that effective IQACs function not merely as compliance bodies but as catalysts of academic excellence by aligning curriculum with industry needs, fostering continuous faculty development, and promoting technology-enhanced learning and learning analytics. Moreover, phased OBE implementation—comprising capacity building, curriculum redesign, instructional support, and continuous evaluation—significantly strengthens learning outcomes and cultivates reflective academic culture. The proposed framework underscores the interconnected role of curriculum, pedagogy, and faculty capabilities as foundations for institutional excellence. Ultimately, the study affirms that IQACs’ strategic leadership in embedding OBE, leveraging educational technologies, and empowering faculty positions them as pivotal agents in driving sustainable educational transformation.

The quality of education is a crucial issue that continues to receive attention in facing the challenges of globalization, digitalization, and the demands of 21st century competencies. Quality improvement efforts are not only related to the quality of students' learning outcomes, but also concern the role of leadership, management effectiveness, and the implementation of a quality assurance system. This study aims to identify strategies to improve the quality of education that have been studied in the literature for the last five years (2020-2025) and answer two research questions, namely: (1) what quality strategies are predominantly discussed in the literature, and (2) how the role of leadership, strategy management, and quality assurance in supporting the quality of education. The method used is literature review with a qualitative approach. Data was obtained from Google Scholar and Publish or Perish (PoP) databases using the keyword "quality strategy" with a publication year limit of 2020–2025. The search yielded 30 articles, which then through a screening and selection process obtained 5 relevant articles for analysis. The results of the analysis show three main trends: (1) the strategic role of school principals in building a quality culture, (2) the importance of evaluation and implementation of quality management in a sustainable manner, and (3) the synergy of visionary leadership with the quality assurance system  as the basis for sustainable quality. This study concludes that the education quality strategy requires the integration of these three aspects. Going forward, further research is needed to develop integrative models across approaches and broader educational contexts.

This study examines the communication strategy implemented by the Surabaya Transportation Agency in providing education about Traffic Impact Analysis (Andalalin) at Siola Mall with the aim of increasing public understanding and trust in the service. Using a qualitative descriptive approach, data were collected through field observations, activity documentation, and literature studies, then analyzed using the Miles and Huberman model. The findings show that humanely designed communication—prioritizing empathy, information openness, and quality assurance of service—can strengthen the relationship between officers and the community and increase the level of public trust. Communication practices include the delivery of simplified technical information, two-way dialogue to accommodate citizens' aspirations, and demonstrations of transparent Andalalin procedures. Factors that support success include officer competence, consistency of message, and the use of communication media that suits the character of the audience. The obstacles found include initial resistance from the community, limited resources, and the complexity of urban transportation issues. The research recommendations include strengthening the communication capacity of officers, developing participatory educational materials, and cross-sector collaboration to ensure the sustainability of Andalalin's education program and improving the quality of public services in Surabaya.

This study aims to analyze the role of Internal Quality Assurance (IQA) in creating and maintaining excellent schools. IQA is a systematic mechanism designed to ensure that all educational processes operate according to established quality standards while serving as a means for continuous evaluation and improvement. This research employs a literature study method with a descriptive qualitative approach, utilizing secondary sources such as books, scientific journals, government regulations, and relevant previous studies. The findings indicate that IQA plays a strategic role in building an education system oriented toward quality and accountability. Through the implementation of the Plan-Do-Check-Act (PDCA) cycle, schools are able to establish measurable quality standards, control learning processes, and conduct continuous evaluations of educational outcomes. The implementation of IQA also fosters a culture of quality that encourages collective awareness among all school members regarding the importance of continuous improvement. However, IQA implementation still faces several challenges, including limited competent human resources, lack of leadership commitment, inadequate facilities and infrastructure, and resistance to change. A case study at SMP Negeri 2 Tarutung reveals that the success of IQA is determined by visionary leadership, stakeholder support, and the use of data-based quality information systems. Therefore, IQA functions not only as a supervisory tool but also as a managerial strategy for achieving holistic and sustainable educational quality improvement

This study aims to examine the role of National Education Standards (SNP) in realizing a quality and equitable education system in Indonesia. The method used is descriptive qualitative with a literature study approach to various scientific sources discussing the implementation of SNP, including educator professionalism, education management, and quality equity between regions. The results of the study show that the SNP functions as the main instrument for quality assurance as well as a strategy for educational equity through eight standards that must be met by each educational unit. The implementation of the SNP has been proven to improve the quality of learning, the competence of educators, and the accountability of school management. In addition, the SNP plays a role in narrowing the gap in educational quality between regions by establishing uniform performance indicators at the national level. However, implementation in the field still faces obstacles in the form of limited human resources, infrastructure, and uneven policy support. Therefore, collaboration among stakeholders is needed to optimize the implementation of the SNP through continuous training, managerial supervision, and strengthening of the internal quality assurance system in schools. This study confirms that the SNP is a strategic foundation for building a quality, inclusive, and equitable national education system in the era of educational transformation.

Educational quality assurance is a systematic, integrated, and continuous process to ensure that each educational unit meets or exceeds the National Education Standards (SNP). The background of this research problem is the efforts of SD Negeri 173133 Lumban Baringin to maintain its status as a superior school amidst the challenges of managing educational quality, limited resources, and the need for continuous development. External quality assurance institutions such as the National Accreditation Board for Schools/Madrasahs (BAN-S/M) play an important role in assessing, fostering, and encouraging improvements in educational quality. This study aims to determine the role of external quality assurance in supporting superior schools at SD Negeri 173133 Lumban Baringin. A qualitative approach with descriptive methods was used, and data were collected through observation, interviews (principals, teachers), and documentation. The results of the study indicate that BAN-S/M plays a strategic role through accreditation, monitoring, and post-accreditation guidance. Teachers stated that recommendations and guidance from BAN-S/M encourage improvements in management systems, learning, and quality culture. Synergy between internal and external quality assurance is key to sustainable educational quality.

Educational institutions are under pressure to create organized and responsible quality assurance systems because raising the standard of education has become a global imperative. The Internal Quality Assurance System (SPMI) and the External Quality Assurance System (SPME) are integrated in Indonesia to achieve this. However, accountability must be transparent, real-time, and not just administrative due to the quick digital revolution. In order to enhance educational accountability in the digital age, this study attempts to examine and model the integration of internet-based internal and external quality assurance systems. Nine pertinent papers from 2018 to 2025 were chosen and examined using a systematic Literature Review (LR) process and a qualitative methodology. The findings show that institutional performance and accountability are greatly improved by the successful implementation of SPMI, which is driven by the PPEPP cycle (Planning, Implementation, Evaluation, Control, and Improvement). Additionally, the integration of digital-based systems (e-SPMI) acts as a link between SPME and SPMI, guaranteeing data correctness, efficiency, and transparency for accrediting needs. The results highlight the need for an integrated, web-based quality assurance system that facilitates evidence-based decision-making in order to attain educational accountability in the digital age. In order to automate data collection and reporting procedures, the study advises educational institutions to implement an online quality management information system

Improving the quality of education has become a strategic issue in the management of educational institutions in the global era. One widely used approach is Total Quality Management (TQM), which focuses on continuous improvement, multi-stakeholder engagement, and stakeholder satisfaction. This study aims to analyze the implementation of TQM in education, specifically regarding implementation strategies, challenges, and opportunities faced by educational institutions. This study used a qualitative literature review method, examining five scientific articles published between 2020 and 2025. Data were obtained through searches on Google Scholar and Publish or Perish, then analyzed through screening and thematic coding. The study results indicate that the implementation of TQM contributes positively to improving the quality of learning, graduate quality, and internal quality assurance systems at various levels of education. The integration of Islamic values ​​and character is also a trend in the implementation of TQM in religious-based schools. In conclusion, it was found that most research is still case studies and limited to specific school contexts, thus not providing a comprehensive picture of the variation in TQM practices at various levels of education. Therefore, further comparative and integrative research is needed to strengthen understanding of the effectiveness of MMT in continuously improving the quality of education.

The quality of education is an important issue that requires an integrated and sustainable management system. One approach that is widely used is Total Quality Management (TQM), which focuses not only on achieving academic standards, but also on the satisfaction of all education stakeholders. Although many studies have discussed IQM, a synthesis is still needed to see how IQM has been applied over the past five years and its contribution to customer satisfaction in education. Therefore, the research questions asked are: (1) how has IQM research in education developed from 2020 to 2025, and (2) to what extent has it contributed to customer satisfaction in education? This article uses a qualitative method based on a literature review (LR). The search process was conducted through the Google Scholar and Publish or Perish databases using the keywords “Integrated Quality Management in Education.” The search yielded 20 articles, which were filtered into 18 relevant articles and further analyzed into 5 main articles. The review results show three main themes: quality system planning and integration, quality culture-based managerial strategies, and quality assurance oriented towards stakeholder satisfaction. The conclusion confirms that IQM contributes significantly to improving quality and customer satisfaction in education. Further research is recommended to test the empirical relationship between IQM practices and stakeholder satisfaction at various levels of education.

Private Islamic Religious Colleges (PTKIS) play a strategic role in developing superior human resources with Islamic character. However, in practice, many PTKIS face challenges in meeting higher education quality standards and achieving optimal accreditation. Accreditation assistance based on Outcome-Based Education (OBE) and quality digitization are innovative solutions to improve the effectiveness of education quality management. OBE emphasizes the importance of learning outcomes integrated into the curriculum, learning process, and assessments that are measurable and relevant to the needs of the workplace. Meanwhile, quality digitization supports the efficient, transparent, and real-time management of academic data, forms, and accreditation reporting. Through the integration of these two approaches, PTKIS can improve accountability, accelerate the accreditation process, and ensure the achievement of sustainable quality standards. This article discusses the strategy of OBE-based accreditation assistance and quality digitization at the Tanggamus Islamic Education College, Lampung Province, highlighting the implementation process, obstacles encountered, and solution steps that can be applied to strengthen the PTKIS's internal quality assurance system.

Lecturers are a key element in improving the quality of education in higher education. Effective assessment of lecturer performance is essential for evaluation and improvement of education quality. Instituito Profissional de Canossa (IPDC) evaluates lecturer performance through manual methods involving students, this process often produces inaccurate data and slows down decision making. For this reason, a decision support system is needed that can accommodate all the criteria needed in decision making using the promethee method to assess lecturer performance. Promethee was chosen in this research because of its ability to consider data characteristics and provide more accurate results. This DSS will consider three assessment criteria, including education, community service and research. The results of the DSS implementation with the Promethee method can provide recommendations for lecturer performance rankings that help the quality assurance team in identifying outstanding lecturers.

Improving the quality of education has become a strategic issue in efforts to strengthen the competitiveness and credibility of educational institutions in the era of globalization. One crucial approach to achieving this goal is developing a quality culture as a system of values, attitudes, and habits oriented towards continuous improvement. This article aims to systematically review how the concept of quality culture is applied in the educational context and answer the question: how do strategies for strengthening quality culture contribute to improving the performance of educational institutions? This research uses a qualitative approach using the Literature Review (LR) method. The data sources were scientific articles from 2020–2025 accessed through Google Scholar and Publish or Perish (PoP) with the keyword "quality culture." Of the 30 articles found, 5 were selected for thematic analysis. The review results revealed three main trends: (1) the importance of academic leadership and supervision in fostering a quality culture, (2) the role of internal quality assurance systems in consistent quality implementation, and (3) the impact of quality culture on improving institutional performance. In conclusion, quality culture is a key element in the success of sustainable education. Further research is recommended to examine digital-based and collaborative quality culture models.