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The Integrated Primary Care Posyandu (ILP) program requires cadres to assume a much broader role compared to conventional Posyandu services. In the working area of Puskesmas Penusupan, ILP achievement reached only 20% in 2025, while merely 25 out of 225 cadres (11%) had received related training. This condition indicates that cadre readiness needs to be examined more comprehensively before the program can be implemented optimally. This study aimed to analyze the factors associated with the readiness of ILP Posyandu cadres using a descriptive-analytic method with a cross-sectional approach. The study involved 144 cadres selected proportionally from a population of 225 using the Slovin formula. Data were collected through structured interviews using a validated questionnaire and analyzed using univariate, bivariate (Spearman Rank), and multivariate (ordinal logistic regression) analyses. The results showed that among the eight variables examined, only skills (r = 0.171; p = 0.040) and resource availability (r = 0.225; p = 0.007) were significantly associated with cadre readiness. In the multivariate analysis, resource availability emerged as the most influential factor with an OR = 2.839 (95% CI: 1.311–6.149), indicating that cadres supported by adequate resources were 2.8 times more likely to demonstrate good readiness. In conclusion, resource availability was identified as the dominant factor associated with the readiness of ILP Posyandu cadres in the working area of Puskesmas Penusupan. Therefore, improving the availability of facilities and infrastructure, providing practice-based training, and strengthening operational support should become priority programs in the future.

Currently, the management of the damaged goods reporting at the Class 1A Jambi District Court still relies on manual procedures through verbal communication and physical logbooks. This mechanism is prone to recording errors, risks of document loss, and complicates real-time monitoring of repair statuses. This study aims to design a web-based Damaged Goods Reporting Information System to improve the effectiveness, transparency, and efficiency of internal asset management. The research method employs a qualitative approach with data collection techniques consisting of interviews, observations, and documentation. System development implements the Waterfall model, comprising requirement analysis, design, implementation, and testing phases. The result of the study deliver a web-based application that integrates features for report input, proof of damage photo uploads, admin validation, and real-time monitoring of repair status. This system successfully simplifies bureaucratic workflows, accelerates response times for damage handling, and minimizes administrative errors.

PT. X is a textile company that produces greige fabric. One of the crucial stages in the greige fabric production process is inspection. Currently, the facility layout of the inspection area at PT X is still suboptimal. This results in longer fabric movement distances and increased time, leading to delivery delays and higher material handling costs. This study aims to design an optimal facility layout in the inspection area using the Activity Relationship Chart (ARC) method and to determine the distances, times, and costs for the proposed layout. In the initial production layout, the fabric movement distance reached 26,130 meters in one working day, and the fabric movement time was 936 minutes. Furthermore, the initial production layout generated a relatively high OMH of Rp 13,742,980 per month. After designing the facility layout using the Activity Relationship Chart (ARC) and Blockplan methods, the proposed layout was arranged according to the production process sequence, resulting in a smoother material flow. The proposed layout yields 16,830 meters of fabric movement per workday, 660 minutes of required time, and a monthly OMH of Rp 7,945,622, with an efficiency of 39.32%.

Stunting is a major indicator of chronic nutritional problems that affect children’s growth and development. In Indonesia, stunting prevalence remains high and is a national public health concern. This study aimed to analyze the relationship between socio-demographic factors and stunting incidence among toddlers in the working area of the Tanoh Alas Health Center, Southeast Aceh Regency, in 2025. This study used an analytical quantitative design with a cross-sectional approach. The sample consisted of 93 mothers with children under five selected through simple random sampling. Data were collected using questionnaires and observation sheets from June 19 to July 3, 2025. Statistical analyses included Chi-Square and multiple logistic regression tests. The results showed that 33.3% of children were stunted, 34.4% had poor access to health services, and 68.8% lived in unhealthy housing conditions. Bivariate analysis indicated significant relationships between maternal age (p = 0.007), maternal education (p = 0.012), maternal occupation (p = 0.002), access to health services (p = 0.001), family income (p = 0.032), and healthy housing conditions (p = 0.007) with stunting incidence. Multivariate analysis revealed that access to health services was the strongest factor associated with stunting (p = 0.010; OR = 4.294; 95% CI: 1.411–13.06). Children with limited access to health services were 4.3 times more likely to experience stunting. The study recommends improving the accessibility and quality of maternal and child health services and strengthening multisectoral interventions and health education programs to prevent stunting.

Stunting is a major indicator of chronic nutritional problems that affect children’s growth and development. In Indonesia, stunting prevalence remains high and is a national public health concern. This study aimed to analyze the relationship between socio-demographic factors and stunting incidence among toddlers in the working area of the Tanoh Alas Health Center, Southeast Aceh Regency, in 2025. This study used an analytical quantitative design with a cross-sectional approach. The sample consisted of 93 mothers with children under five selected through simple random sampling. Data were collected using questionnaires and observation sheets from June 19 to July 3, 2025. Statistical analyses included Chi-Square and multiple logistic regression tests. The results showed that 33.3% of children were stunted, 34.4% had poor access to health services, and 68.8% lived in unhealthy housing conditions. Bivariate analysis indicated significant relationships between maternal age (p = 0.007), maternal education (p = 0.012), maternal occupation (p = 0.002), access to health services (p = 0.001), family income (p = 0.032), and healthy housing conditions (p = 0.007) with stunting incidence. Multivariate analysis revealed that access to health services was the strongest factor associated with stunting (p = 0.010; OR = 4.294; 95% CI: 1.411–13.06). Children with limited access to health services were 4.3 times more likely to experience stunting. The study recommends improving the accessibility and quality of maternal and child health services and strengthening multisectoral interventions and health education programs to prevent stunting.

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.  

Healthcare-Associated Infections (HAIs) remain a major global challenge in healthcare services, contributing significantly to increased morbidity, mortality, and healthcare costs. Nurses’ compliance with the use of Personal Protective Equipment (PPE) is a critical component in infection prevention and control programs. Supervision by Infection Prevention and Control Nurses (IPCNs) is considered a key factor in improving compliance. This study aimed to analyze the relationship between IPCN supervision and nurses’ compliance with PPE usage in inpatient wards at Grha Permata Ibu Hospital, Depok, in 2025. This study employed a quantitative approach using a correlational analytic design with a cross-sectional method. The population consisted of all 56 nurses working in four inpatient wards, and total sampling was applied. Data were collected using a structured IPCN supervision questionnaire and direct observation checklists of PPE compliance. Data analysis included univariate and bivariate analysis using the Chi-square test. The results revealed that most respondents perceived IPCN supervision as moderate (58.9%), while the majority demonstrated compliance with PPE usage (62.5%). Bivariate analysis indicated a statistically significant relationship between IPCN supervision and PPE compliance (p = 0.001). Nurses receiving high-level IPCN supervision were 33.85 times more likely to comply with PPE usage compared to those receiving moderate supervision. In conclusion, IPCN supervision plays a crucial role in enhancing nurses’ compliance with PPE usage. Strengthening IPCN supervisory functions through structured monitoring, continuous education, and consistent evaluation is strongly recommended to improve patient and healthcare worker safety and to reduce the incidence of HAIs in hospital settings.

Global economic crises, technological disruption, and organizational uncertainty have driven companies to adopt efficiency measures through layoffs, which may reduce human capital value and weaken organizational sustainability. This study aims to analyze and formulate a Circular Human Resources (Circular HR) model based on talent sharing as an employee retention strategy during crises. The research employs a Systematic Literature Review (SLR) approach guided by PRISMA to identify, select, and synthesize relevant scholarly literature on talent management, sustainable HRM, and inter-organizational collaboration. The findings indicate that inter-company talent sharing enables flexible workforce redistribution, allowing organizations to maintain employment relationships without resorting to layoffs. The effectiveness of this model is influenced by regulatory frameworks, organizational readiness, and the level of trust and collaboration among participating firms. Furthermore, the model contributes to skill enhancement, cost efficiency, and strengthened organizational resilience in times of crisis. This study offers a conceptual framework that integrates circular economy principles with collaborative human resource management strategies, providing practical implications for organizations and policymakers in designing a more adaptive and sustainable employment system.

The hospital laundry installation is a non-medical supporting unit with a high risk of occupational health and safety (OHS) hazards due to direct exposure to chemicals, machinery, and contaminated linen. Potential hazards in this unit include physical (heat, noise), chemical (detergents and disinfectants), biological (viruses and bacteria from linen), and ergonomic (improper working posture) risks. This study is a descriptive quantitative research with a semi-quantitative approach. The aim is to identify, assess, evaluate, and control OHS risks in the laundry unit. Data were collected through observation, interviews, and document review with seven laundry staff members. Risk assessment was conducted using a risk matrix based on the AS/NZS 4360:2004 standard. The results show that several risks ranged from low to very high levels, including infection from linen, chemical exposure, noise, and injury from machinery. Risk control measures implemented include applying the hierarchy of controls, starting from elimination, substitution, engineering controls, Administratif controls, and the use of personal protective equipment (PPE). It is concluded that improvements in supervision, staff training, and facility upgrades are necessary to minimize occupational accidents in the laundry installation.

Attention mechanisms have been widely incorporated into recurrent neural network architectures for financial time series forecasting, with most prior work reporting improvements in price-level error metrics. This study revisits that claim through a controlled empirical comparison of four deep learning architectures on nearly two decades of Telkom Indonesia (TLKM) closing price data from the Indonesia Stock Exchange (IDX). The models evaluated are a three-layer Gated Recurrent Unit (GRU) baseline, a comparable Long Short-Term Memory (LSTM) network, a Bahdanau end-attention GRU (Attn-GRU-V2), and a multi-head self-attention GRU hybrid (Attn-GRU-V3). Each architecture is trained over 30 independent runs with distinct random seeds, and performance is reported as 95% confidence intervals derived from the t-distribution. Statistical comparisons employ the Wilcoxon signed-rank test, a nonparametric paired test appropriate given the confirmed non-normality of residuals. The main finding is a consistent trade-off: the plain GRU achieves the lowest RMSE (94.02 ± 1.22 IDR) across all 30 runs, while Attn-GRU-V2 achieves the highest directional accuracy (45.91 ± 0.09%), surpassing GRU in every independent run. Bahdanau attention weights are nearly uniform across the 30-day lookback window (coefficient of variation: 3.21%), indicating that the mechanism cannot identify selectively informative timesteps in this univariate price series. This finding is consistent with the weak-form Efficient Market Hypothesis for the Indonesian market. An ablation study reveals that a 20-day lookback window maximizes directional accuracy (47.72 ± 0.21%) for the Attn-GRU-V2 model. These results suggest that Bahdanau end-attention consistently and significantly improves directional accuracy relative to a plain GRU baseline, providing an architecturally attributable advantage for direction-based applications, even when absolute price-level error is not reduced. The directional accuracy values remaining below 50% across all models are consistent with a weak-form efficiency characterization of the Indonesian market.

Adolescence is a period of change or transition from childhood to adulthood, encompassing biological, psychological, and social changes. Adolescent girls experience menstruation every month, which puts them at risk of anemia, compounded by poor dietary habits and the failure to consume iron tablets. Rapid adolescent growth is linked to nutritional fulfillment or adolescent consumption of nutrients, one of which is iron consumption. Insufficient iron consumption can lead to anemia in adolescents. Strategies to address anemia in adolescent girls include improving dietary intake and providing iron tablet supplementation. Changing dietary patterns is an important long-term strategy, but cannot be expected to be successful quickly. Anemia is a global health problem, especially in developing countries, where an estimated 30% of the world's population suffers from anemia. Adolescent girls are ten times more likely to suffer from anemia than boys. Efforts to prevent anemia in adolescents through iron tablet supplementation are a strategic, specific intervention to prepare healthy mothers-to-be. The aim was to determine the effect of iron (Fe) tablet administration on increasing Hb levels in adolescent girls with mild anemia. This study was quantitative, with an experimental design. The population in this study were 55 young women at the Ibu Health Center in West Halmahera Regency. A purposive sample of 30 samples was taken. Data collection in this study was carried out by examining Hb levels before and after administering iron tablets 4 times in a row for 4 weeks. The results of the study were that there was no significant difference between Hb levels before and after administering iron tablets in young women at the Ibu Health Center in West Halmahera Regency. The average Hb level before administering iron tablets was 11.5 g/dL, and after administering iron tablets was 12 g/dL. The results of the paired t-test showed a difference before and after administering iron tablets (p value = 0.001), so the test has an effect on administering iron tablets (Fe) on increasing Hb levels in young women with mild anemia in the Ibu Health Center in West Halmahera Regency.

This study aims to analyze the workload of sewing operators within a single production line and to equalize the workload using the line balancing method at PT. Pan Brothers. The garment industry requires high production efficiency; therefore, balanced workload distribution among operators is necessary to ensure optimal production processes. This research used an observational approach with data collection through direct observation of the sewing process, literature study, and documentation of production data. The research population consisted of 36 operators on the observed production line, analyzed through time study activities. The analyzed data included cycle time, takt time, and work processes at each workstation. The results showed that several processes had cycle times exceeding the takt time, specifically in processes number 2, 5, 6, 12, 17, 23, and 26, which caused bottlenecks and workload imbalance among operators. The calculation results indicated that the actual process time reached 520 seconds per product, while the ideal time based on takt time was 287 seconds per product, resulting in a time difference of 233 seconds or about 44% longer than the standard time. The implementation of the line balancing method was carried out by redistributing work elements from processes with high workloads to processes with remaining work capacity. The improvement results showed that the workload among operators became more balanced, the production process became more efficient, and the potential for bottlenecks could be minimized, enabling the company to achieve its production targets.

This paper was written with the aim of analyzing the role of stevedoring workers (TKBM) in loading and unloading activities carried out by the Loading and Unloading Company (PBM) FT. Gelora Perkasa Belawan. In collecting data, the author utilized two approaches, namely field research and library research. Labor efficiency is a key factor in increasing operational productivity in the port sector, however, various problems are often found such as delays, low productivity, and work inefficiencies caused by weak monitoring and performance monitoring systems. In this study, a qualitative approach was used through field methods and library methods, on the operational activities of TKBM in the company. The results of the study indicate that the implementation of structured work and periodic evaluations can improve work discipline, accelerate loading and unloading times, and reduce operational costs. In addition, the role of management in providing constructive feedback and periodic training has also proven effective in supporting labor efficiency. Thus, optimizing the role of TKBM will have a direct impact on improving the performance of PBM PT. Gelora Perkasa Belawan, which ultimately contributes to the smooth flow of goods and economic growth in the Belawan port area.

This study explores the influence of career factors and economic independence on the phenomenon of late marriage in early adult women (aged 25-35 years) in Indonesia, especially in urban areas of North Sumatra such as Medan. Adopting a mixed-methods design, the study involved a quantitative survey of 250 career female respondents (with age criteria above 25 years old, unmarried, and a minimum income of the city UMR) using the Likert scale to measure career priorities as well as the financial independence index, complemented by logistic regression analysis to test causal relationships. Semi-structural interviews with 20 key informants uncovered an in-depth narrative about the trade-offs between professional ambitions (such as job promotion and income stability) and traditional marriage expectations. Key findings show that women with a bachelor's degree and above and an income of 1.5 times UMR tend to postpone marriage until the average age of 31.4 years, driven by the desire to achieve economic independence (regression coefficient β=0.42, p<0.01) as well as the flexibility of living without partner dependence. However, moderator factors such as Batak or Malay cultural pressures in Medan create internal conflicts, with 68% of respondents reporting social stress from family. Theoretically, the results support role conflict theory in modern family dynamics, while implications include recommendations for work-life balance-based pre-marital counseling programs and corporate policies to support high-quality marriages. This research contributes to the Indonesian family relations literature by highlighting the paradigm shift from patriarchal norms towards gender equality.

This study aims to analyze the relationship between public policy paradoxes, healthcare service quality, access to and continuity of postnatal care, and maternal mortality in Pekalongan Regency. A mixed-methods approach with a sequential explanatory design was employed, involving 30 respondents for quantitative analysis using Spearman correlation tests and 5 key informants for in-depth interviews. The results indicate that policy paradoxes are strongly correlated with service quality and with access and continuity of care. Service quality also shows a robust correlation with access and continuity. All variables are significantly associated with maternal mortality, with access and continuity of care demonstrating the strongest correlation. Qualitative findings reveal implementation gaps in Ministry of Health Regulation No. 21 of 2021, where postnatal visits are often conducted only 2–3 times instead of the mandated four visits, with 10 out of 13 maternal deaths occurring during the postnatal period. The persistence of maternal mortality is attributed to inconsistent implementation of standard operating procedures, high workload, and socio-cultural factors. The study highlights the need to strengthen supervision, enhance human resource capacity, and promote cross-sectoral collaboration to optimize postnatal care services.

The most valuable asset of a company is its employees due to their performance. The performance of PT. XYZ in recent times has tended to decline due to the heavy workload on Group A non-organic employees, which has resulted in reduced employee productivity. This study aims to determine the workload value and the level of fatigue experienced by Group A non-organic employees at PT. XYZ using the SOFI and SDS methods. It also aims to recommend efforts to reduce the workload and stress levels for Group A non-organic employees at PT. XYZ. This study is a descriptive qualitative research using interview methods and distributing questionnaires to 18 non-organic employees of group A. The results of the study indicate that the analysis of workload (fatigue) measurement using the SOFI method obtained a physical fatigue level among non-organic employees of group A at PT. XYZ with an average total score of 4.61, which means that the employees experienced a workload (fatigue) level categorized as moderate. Meanwhile, the analysis of work stress measurement using the SDS method obtained an average total score of 14, indicating that the stress level among non-organic employees of group A at PT. XYZ falls in the moderate category.

The most valuable asset of a company is its employees due to their performance. The performance of PT. XYZ in recent times has tended to decline due to the heavy workload on Group A non-organic employees, which has resulted in reduced employee productivity. This study aims to determine the workload value and the level of fatigue experienced by Group A non-organic employees at PT. XYZ using the SOFI and SDS methods. It also aims to recommend efforts to reduce the workload and stress levels for Group A non-organic employees at PT. XYZ. This study is a descriptive qualitative research using interview methods and distributing questionnaires to 18 non-organic employees of group A. The results of the study indicate that the analysis of workload (fatigue) measurement using the SOFI method obtained a physical fatigue level among non-organic employees of group A at PT. XYZ with an average total score of 4.61, which means that the employees experienced a workload (fatigue) level categorized as moderate. Meanwhile, the analysis of work stress measurement using the SDS method obtained an average total score of 14, indicating that the stress level among non-organic employees of group A at PT. XYZ falls in the moderate category.

This study aims to assess the quality of patient care at the Emergency Unit of Sentani City Community Health Center, Jayapura Regency, by examining the experiences and perceptions of patients, their families, and healthcare workers regarding the service. The study used a qualitative approach with a descriptive design. Informants were selected using purposive sampling involving ER patients, their families, and healthcare workers involved in the ER service process at Sentani Community Health Center. Data were collected through in-depth interviews, non-participatory observation, and documentation studies. The data obtained were analyzed qualitatively through the stages of data reduction, data presentation, and conclusion drawing. The research analysis refers to seven dimensions of service quality, namely direct evidence (tangibles), reliability, responsiveness, assurance, empathy, service accessibility, and service systems and flows. The results of the study showed that service quality at the Sentani Community Health Center ER was in the fairly good category, especially the dimensions of empathy, reliability, and responsiveness of healthcare workers. Healthcare workers were friendly, responsive, and provided fair services without discriminating against patient backgrounds. However, a number of obstacles are still found that affect the optimization of services, including limited facilities and infrastructure, the number of health workers that is not commensurate with the service load, patient waiting times in certain conditions, the operating hours of the Emergency Room that are not yet 24 hours, and the low understanding of some patients regarding the applicable service system and flow.

Improving the quality of Islamic boarding school education is essential to meet the demands of modern times and global competition. These institutions are expected not only to produce academically capable students but also those with strong character, noble morals, and spirituality. A key factor influencing the quality of Islamic boarding school education is the organizational commitment of human resources, particularly educators and educational staff. This study examines the role of human resource commitment in enhancing the quality of Islamic boarding school education, using a library research method by reviewing books, journals, and previous studies on organizational commitment and education quality. The findings highlight that organizational commitment, expressed through affective, normative, and sustained commitment, significantly impacts education quality. These dimensions encourage educators and staff to work professionally and responsibly, focusing on quality in both learning and management. Additionally, pesantren leadership and an organizational culture rooted in Islamic values further strengthen this commitment, leading to a positive and sustainable impact on education quality. The study concludes that fostering strong organizational commitment is crucial for improving pesantren education, urging managers to prioritize human resource development through effective management, visionary leadership, and a conducive organizational culture.