International Journal of Health, Economics, and Social Sciences (IJHESS)

The Ontology of Leadership in Crisis: Beyond the Directive Model Toward Collaborative-Adaptive Leadership

Imaduddin Fadhlurrahman — 2026-07-04

This study aims to examine whether leadership in crisis situations is ontologically distinct from leadership under normal conditions, and to demonstrate that collaborative-adaptive leadership constitutes the most ontologically honest response to the nature of crisis. This study employs philosophical library research through three complementary analytical approaches: philosophical inquiry, hermeneutical analysis, and critical comparative analysis. The directive model operates on three erroneous assumptions reality as already known, the sovereign singular subject, and time as linear sequence all of which collapse when crisis occurs. The phenomenology of Heidegger (Mitsein), Husserl (Einfühlung), and Arendt (plurality) demonstrates that crisis can only be responded to collectively, manifesting through three dimensions: collaboration as recognition of ontological complexity, empathy as ontological capacity, and trust as the foundation of a new shared world. Directive leadership is ontologically incompatible with the nature of crisis as a condition of human being-in-common (being-in-common). This study affirms the importance of integrating ontological, epistemological, and axiological dimensions in leadership theory, while simultaneously opening space for dialectical inquiry into phenomenologically-grounded leadership.

A Critical Analysis of the Supernatural Approach Between Environmental Education and School Ceremonialism

Moh Zulandri — 2026-07-25

The Adiwiyata program is one of the strategic policies of the Indonesian government in realizing sustainable environmental education in schools. Since its launch in 2006 by the Ministry of Environment and Forestry (MoEF), the program is designed to instill ecological values through integration into the curriculum, school culture, and citizen participation. However, the implementation in various schools shows a paradox: on the one hand, Adiwiyata succeeds in encouraging increased concern for the environment, but on the other hand, the practice of its implementation is often trapped in ceremonialism. This phenomenon can be seen from the school orientation that emphasizes the achievement of awards, certifications, and competitions rather than the deep internalization of ecological values. This article aims to conduct a critical analysis of the Adiwiyata approach using a literature-based theoretical study method (desk study). The results of the study show that there is a gap between the normative goal of Adiwiyata as an instrument of ecological awareness transformation and the practice of educational bureaucratic ceremonialism that emphasizes the formal aspect. This article offers a reconstruction of the Adiwiyata approach through the integration of ecological curriculum, the formation of a green school culture, and sustainable community participation. Thus, Adiwiyata not only becomes a symbol of administrative success, but actually serves as a transformative and substantial medium of environmental education.

Prediction of Outpatient Visits Using Trend Analysis Method at RSUD Titi Kabila Bone Bolango for 2024-2028

Ayudhita Cahyani Daud — 2026-07-27

Outpatient prediction using the trend method. A trend is an analysis that explains and measures various changes or developments in data during one period. From 2019 to 2023, outpatient visits totaled 17 polyclinics, with the highest number of patient visits in 2023, with a total of 40,630 patient visits and an increase in 2023, so it is necessary to predict outpatient visits, given the importance of outpatient visit. This study aims to determine the prediction of outpatient visits using the trend analysis method. The type of research used in this study is descriptive, using a prospective approach. The population in this study is a recapitulation of the number of outpatient visits at Toto Kabila Hospital in 2019–2023. The sample in this study used total sampling, where all members were 152,290, The research instrument used work tables, calculating tools, and stationery. The results of the calculation show that the prediction of outpatient visits in 2024–2028 at Toto Kabila Hospital has increased every year, with 52,977 visits in 2028, and the prediction of outpatient at internal polyclinics eyes, and nerves has increased by 109,923 visits, while the skin polyclinic has decreased by 4,330 visits.

Salmonella sp. Contamination in Broiler Chicken Meat at Gorontalo Central Market: A Quantitative Microbial Risk Assessment Approach

Tri Septian Maksum — 2026-07-27

Gorontalo Central Market is the largest marketplace for broiler chicken meat sales in Gorontalo. Contamination of broiler chicken meat may occur during storage or at the point of sale (market) and can proliferate if the cooking process is inadequate. Laboratory test results revealed the presence of Salmonella sp. in broiler chicken meat at levels exceeding the maximum permissible limits for microbial contamination in food. This study aimed to assess the quantitative health risk posed by Salmonella sp. contamination in broiler chicken meat sold at Gorontalo Central Market. This was a descriptive observational study employing a Quantitative Microbial Risk Assessment (QMRA) approach. The study samples consisted of seven broiler chicken meat samples collected from seven meat stalls at Gorontalo Central Market and 85 consumers who purchased and consumed broiler chicken meat sold at the market. Respondents were selected using an accidental sampling technique. The results showed that broiler chicken meat sold at Gorontalo Central Market contained Salmonella sp. ranging from 1.4e3 to 3.0e5 CFU/g. Health risk assessment indicated that, among the seven meat stalls evaluated, five were classified as high-risk (P_inf/day/meal = 3.83–4.85), while two stalls were classified as no risk (P_inf/day/meal = 0). It is recommended that vendors improve sanitation practices at their selling locations and maintain proper personal hygiene to reduce the potential for pathogenic microbial contamination.

Policy Analysis in Improving the Quality of Health Services: A Literature Study

Sri Hajijah Purba — 2026-07-27

he quality of healthcare services is a crucial indicator of the success of the national healthcare system. Various healthcare policies in Indonesia continue to be developed to improve access, service quality, and public satisfaction. This research employed a literature review with a qualitative descriptive approach through the Google Scholar database and other scientific sources, using keywords such as health policy, BPJS, JKN, healthcare service quality, and health policy. The articles used were published between 2022 and 2026. The search identified 50 articles, which were then narrowed down to 25 based on topic relevance and source credibility, resulting in 18 articles analyzed in this study.

The results indicate that the JKN and BPJS Kesehatan programs play a role in improving access and quality of public healthcare services. Service quality is influenced by the competence of healthcare workers, service facilities, management systems, communication, and the use of healthcare technologies such as telemedicine and electronic medical records. However, policy implementation still faces various obstacles, including limited healthcare workers, uneven distribution of facilities, long service queues, and complex administration. The novelty of this research lies in the integration of Edward III's policy implementation theory with an analysis of healthcare service quality and the digital transformation of healthcare services in Indonesia.

The Effectiveness of Video and Leaflet Media in Increasing Self-Efficacy and Knowledge about HIV/AIDS Prevention

Marisa Lestary Dondo — 2026-07-27

HIV/AIDS remains a health problem for adolescents who are vulnerable to risky behaviors due to lack of knowledge and low self-efficacy. This study analyzed the effectiveness of video and leaflet media in improving adolescent self-efficacy and knowledge using a quasi-experimental design with a sample of 254 adolescents divided into two groups. The results showed that both media significantly increased self-efficacy (p=0.000) and knowledge (p=0.000), with the video group showing a greater increase than the leaflet group. Overall, although both videos and leaflets were equally effective, videos proved superior in improving adolescent understanding and confidence regarding HIV/AIDS prevention.

Depression Literacy and Its Relationship with Psychological Status among Patients with Type 2 Diabetes Mellitus at Indonesia: A Community Mental Health Perspective

Zainuddin — 2026-07-27

The aim of this study was to determine the relationship between depression literacy and psychological status among T2DM patients in primary health care services in Indonesia, which are still limited. This study analyzed this relationship among T2DM patients at the Kabila Community Health Center, Bone Bolango Regency, Gorontalo. A cross-sectional design was applied to 74 T2DM patients (from a population of 292; Slovin's formula, e = 10%) recruited by random sampling in January 2025. Depression literacy was measured using the Depression Literacy Questionnaire (D-Lit; 18 valid items; Cronbach's alpha = 0.799) and psychological status with the General Health Questionnaire (GHQ-12; Likert 0-3; alpha = 0.648). Data were analyzed using Spearman correlation, Kruskal-Wallis, and the Holm-corrected Mann-Whitney test. The mean depression literacy score was 7.20 (SD = 2.63), with the majority at a moderate level (67.57%); The mean GHQ-12 score was 19.12 (SD = 4.51), with 93.24% showing mild to severe levels of stress. Depression literacy scores did not significantly correlate with stress scores (rho = -0.17; 95% CI -0.38 to 0.07; p = 0.156), but stress levels differed across literacy categories (rho = 7.49; p = 0.024): the low literacy group showed higher stress than the moderate literacy group (median 26.0 vs. 18.0; Holm p = 0.021). More severe stress levels alleviated patients with the lowest levels of depression literacy, thus supporting community-based stress screening and targeted depression literacy education as social interventions in primary care.

Overview of Logistics Management at Niko Pharmacy on Jl. Besar Tj. Anom, Sembahe Baru, Pancur Batu District, Deli Serdang Regency, North Sumatra

Nur Afini Turnip — 2026-07-27

Drug logistics management is an important part of pharmaceutical services to ensure the availability, quality, and safety of drugs. This study aims to describe the implementation of drug logistics management at Niko Pharmacy, Pancur Batu District, Deli Serdang Regency. The study used a qualitative method with a descriptive design. Data were obtained through in-depth interviews and observations of pharmacy owners and pharmacy staff. Aspects studied included planning, budgeting, procurement, storage, distribution, disposal and destruction, recording and reporting, and monitoring and evaluation. The results showed that most drug logistics management activities have been running well. Planning is carried out based on sales data, prescriptions, and patient needs, while drug storage has implemented the FEFO system. Distribution, recording, and monitoring are carried out routinely to maintain drug availability. However, several obstacles were still found, such as budget limitations, delays in drug delivery, manual recording, and the lack of documentation of destruction activities and the results of monitoring and evaluation. Overall, drug logistics management at Niko Pharmacy has been implemented well, but it is necessary to strengthen the documentation and administration system to improve the quality of pharmaceutical services and support the sustainability of optimal drug logistics management.

Analysis of Financial Performance Using the Du Pont System at Pt Darya-Varia Laboratoria TBK for the Period 2023-2025

Afsha Harnia — 2026-07-27

This study was conducted to examine the financial performance of PT Darya-Varia Laboratoria using the DuPont system over a three-year period, as the company is listed on the Indonesia Stock Exchange. The entire data set for this analysis includes all available financial statements of PT Darya-Varia Laboratoria for the study period. The sample consists of the statements of financial position (balance sheets) and income statements of PT Darya-Varia Laboratoria Tbk obtained from the Indonesia Stock Exchange (IDX) for the years 2023–2025. Data collection was conducted through documentation and literature review, utilizing secondary data derived from the company’s financial statements and various supporting references. Data analysis employed a comparative analysis method, which involves comparing financial statements from one period to another to identify changes, both in rupiah terms and as percentages.The variables analyzed in this study include Net Profit Margin (NPM), Total Asset Turnover (TATO), and Return on Investment (ROI) based on the Du Pont approach. The variables were measured using a ratio scale because the data used are numerical and can be compared quantitatively. Next, the data were analyzed using descriptive methods with a quantitative approach to describe the company’s financial performance during the study period. The research findings show that PT Darya-Varia Laboratoria Tbk’s Net Profit Margin (NPM) declined from 7.74% in 2023 to 7.35% in 2025. Total Asset Turnover (TATO) fluctuated from 0.93 times to 0.97 times and then fell to 0.95 times. The Equity Multiplier (EM) increased from 1.45 times to 1.59 times, while Return on Equity (ROE) rose from 10.61% to 11.09%. These results indicate that the company’s overall financial performance improved, as reflected by the rise in ROE, despite the decline in the net profit margin. The increase in ROE was driven by more efficient use of assets and increased corporate leverage.

Overview of the Level of Knowledge About Risk Factors for Coronary Heart Disease in Students in Grades VIII-2 SMP Negeri 1 Pancur Batu

Irfan Sazali Nasution — 2026-07-27

Coronary heart disease is a type of non-communicable disease and is one of the diseases that need to be considered. can be influenced by an unhealthy lifestyle from adolescence. This study aims to uncover students' understanding of factors that can increase the risk of coronary heart disease at SMP Negeri 1 Pancur Batu. This study uses a quantitative method with a descriptive design and a cross-sectional approach. The research sample amounted to 25 students in grades VIII-2 who were selected using the total sampling technique. Data collection was carried out using a questionnaire containing 15 questions about risk factors for coronary heart disease. The results showed that the majority of respondents were at the level of knowledge in the good category, which reached 16 students (64%), while the sufficient category included 7 students (28%), and the category lacked 2 students (8%). However, risky behaviors such as lack of exercise, consumption of fast food, late sleep, and excessive use of gadgets were still found. The conclusion of this study shows that the level of students' knowledge about the factors that increase the likelihood of coronary heart disease is considered adequate, but a healthy lifestyle still needs to be improved by providing health education from an early age.

Student Smoking Behavior in the Implementation of the Smoke-Free Area Policy at SMA Negeri 1 Palu

Arwan Arwan — 2026-07-27

Smoking behavior is defined as the activity of inhaling smoke from cigarettes made of rolled dried tobacco leaves that are burned and subsequently exhaled by the individual. Smoking behavior is considered a public health issue that contributes to various health problems and even death, affecting both active smokers and passive smokers who are exposed to cigarette smoke. Smoking behavior among adolescents is no longer a new phenomenon. Low self-motivation to quit smoking, along with environmental and peer influences, are factors that make it difficult for individuals to stop smoking.

This study aimed to identify students’ smoking behavior in the implementation of the Smoke-Free Area policy at SMA Negeri 1 Palu. The study employed a qualitative method with a case study approach. A total of 10 informants participated in this study. Data were managed using matrix analysis techniques. The findings indicated that students’ knowledge regarding the harmful effects of smoking was relatively good. However, students’ attitudes toward peer invitations to smoke were still inadequate, as some students continued to accept such invitations. In addition, the availability of facilities and opportunities that enabled students to obtain cigarettes, such as using pocket money provided by parents or receiving cigarettes from friends, also supported smoking behavior. On the other hand, support from certain peers in the form of advice and encouragement helped male adolescents avoid smoking behavior.

The Influence of E-Service Quality, Product Authenticity, and Delivery Speed on Consumer Satisfaction in TikTok Shop

Seni Amelia Laode Saniharu — 2026-07-30

This study aims to determine the influence of E-Service Quality, product authenticity, and delivery speed on consumer satisfaction at TikTok Shop. This research used a quantitative approach involving 180 students from the Faculty of Economics and Business at Universitas Muhammadiyah Palu as respondents, selected through purposive sampling. Data were collected through questionnaires and analyzed using multiple linear regression. The results of the study indicate that E-Service Quality does not have a significant effect on consumer satisfaction, while product authenticity and delivery speed have a positive and significant effect on consumer satisfaction. Simultaneously, the three variables significantly influence consumer satisfaction, with product authenticity being the most dominant factor.

The Influence of Lifestyle, Peers, and Self-Control on the Effectiveness of Students' Personal Financial Management at Muhammadiyah University of Palu

Siti Ainafizah Eka Putri — 2026-07-30

This study aims to determine the effect of lifestyle, peer influence, and self-control on the effectiveness of personal financial management among students at Universitas Muhammadiyah Palu. The analytical method used in this study is multiple linear regression analysis with a sample size of (fill in according to your data) respondents. The results of the regression analysis show the following equation:
Y = 10.364 + 0.355X₁ + 0.393X₂ + 0.243X₃.The regression coefficient for the lifestyle variable (X₁) of 0.355 indicates that lifestyle has a positive effect on the effectiveness of students’ personal financial management. The peer variable (X₂) also has a positive effect on the effectiveness of personal financial management. This means that a supportive peer environment encourages students to manage their finances more effectively. The regression coefficient for the self-control variable (X₃) of 0.243 indicates that self-control has a positive effect on the effectiveness of personal financial management. Thus, the hypothesis stating that lifestyle, peer influence, and self-control have a positive effect on the effectiveness of personal financial management among students at Universitas Muhammadiyah Palu is accepted.

The Effect of Financial Literacy and Manual Financial Record-Keeping Systems on the Reliability of Financial Statements in MSMEs: A Study of Fashion Stores in Palu City

Putri Nafa Bulan Aulia — 2026-07-30

This study aims to determine the effect of financial literacy and manual financial recording systems on the reliability of financial statements in fashion store MSMEs in Palu City. The research method used is a quantitative method with descriptive and associative approaches. The population in this study consisted of fashion store MSME owners in Palu City, with a sample of 35 respondents selected using census sampling techniques. Data collection was conducted through questionnaires. The data analysis methods used included validity tests, reliability tests, classical assumption tests, multiple linear regression analysis, partial tests (t-test), simultaneous tests (F-test), and coefficient of determination tests using IBM SPSS software. The results showed that partially, the financial literacy variable did not have a significant effect on the reliability of financial statements with a significance value of 0.182 > 0.05. Meanwhile, the manual financial recording system variable had a positive and significant effect on the reliability of financial statements with a significance value of < 0.001 < 0.05. Simultaneously, financial literacy and manual financial recording systems significantly affected the reliability of financial statements with a significance value of 0.001 < 0.05 and an Adjusted R Square value of 0.814. These findings indicate that the reliability of financial statements in fashion store MSMEs in Palu City is more influenced by the implementation of routine, orderly, and consistent financial recording practices rather than solely by financial understanding.

The Influence of Service Innovation on Customer Satisfaction at the Friliskin Beauty Center Beauty Clinic in Palu City

Nurul Hidayah — 2026-07-30

This study aims to analyze the effect of service innovation on customer satisfaction at the Friliskin Beauty Center Beauty Clinic in Palu City. The research is motivated by the increasing competition in the beauty industry that demands service companies to continuously innovate services to improve customer satisfaction. The theoretical study in this study uses the concept of Service Innovation consisting of process innovation, interaction innovation, and outcome innovation, as well as customer satisfaction theory based on the Service-Dominant Logic and SERVQUAL approaches. This study uses a quantitative method with a descriptive-verification approach. Data collection techniques were carried out through observation, documentation, and distribution of questionnaires to 97 respondents selected using a purposive sampling technique. Data analysis was carried out with the help of SPSS through validity tests, reliability, classical assumptions, and multiple linear regression. The results of the study indicate that process innovation has no significant effect on customer satisfaction with a calculated t value of 0.813 and a significance of 0.418. Meanwhile, interaction innovation has a positive and significant effect on customer satisfaction with a calculated t value of 2.981 and a significance of 0.004, and outcome innovation also has a positive and significant effect with a calculated t value of 2.917 and a significance of 0.004. This study concludes that customer satisfaction is formed through a combination of service interaction quality and satisfactory service outcomes.

Analysis of Financial Literacy Levels and Their Relationship with the Characteristics of Coconut Farmers in Pangi Village, Parigi Moutong Regency

Ziad Fad Wafi — 2026-07-30

This study aims to analyse the level of financial literacy and its relationship with the characteristics of coconut farmers in Pangi Village, Parigi Moutong Regency. This type of research is quantitative with a descriptive and correlational approach. According to data from the Central Bureau of Statistics, the study population comprised 192 coconut farmers from Pangi Village, distributed across three hamlets. The sample size was determined using the Slovin formula and stratified random sampling. Data analysis was conducted using descriptive and correlational analyses. Based on the descriptive analysis, the financial literacy level had an average score of 82.57%. The results of the correlation analysis showed that the relationship between age and financial literacy level was r = -0.375; p = 0.002, the relationship between education and financial literacy level was r = 0.565; p = 0.000, the relationship between income and financial literacy level was r = 0.311; p = 0.011, and the relationship between farming experience and financial literacy level was r = 0.002; p = 0.985. The results showed that the financial literacy level of coconut farmers in Pangi Village, Parigi Moutong Regency, is classified as high, and there is a significant relationship between age, education level, and income with the financial literacy level of coconut farmers in Pangi Village, Parigi Moutong Regency. Meanwhile, the farming experience variable did not show a significant relationship.

Analysis of the Effectiveness of Employee Performance of the Village-Owned Enterprise Mitra Bersama in Parilangke Village, Bumiraya District, Morowali Regency

Yusnita — 2026-07-30

This study aims to analyze the effectiveness of employee performance at the Mitra Bersama Village-Owned Enterprise (BUMDes) in Parilangke Village, Bumiraya District, Morowali Regency. The method used is a descriptive qualitative approach. The results of the study indicate that the effectiveness of employee performance at the Mitra Bersama BUMDes is not optimal. This is indicated by low work discipline, limited employee competency, an unclear incentive system, and business management that has not been running optimally. Factors that influence performance effectiveness include internal factors such as employee motivation and ability, as well as external factors such as leadership, work facilities, and village government support. This study concludes that efforts are needed to improve the quality of human resources through training, improving management systems, increasing work discipline, and providing clear motivation and incentives to improve employee performance effectiveness and the success of BUMDes management.

The Influence of Talent Management and Human Resource Audit on Employee Performance at PT. Bintani Megahindah in Taliabu, North Maluku

Eva Natasya La Ade — 2026-07-30

This study aims to analyze the influence of talent management and human resource audits on employee performance. The research method used is quantitative with an associative approach. The population in this study was all employees, with a saturated sampling method used to select the entire population. Data collection techniques included questionnaires, observation, and documentation. Data analysis used multiple linear regression with IBM SPSS Statistics.The results indicate that talent management has a partial positive but insignificant effect on employee performance, with a significance value of 0.535 (>0.05). Meanwhile, human resource audits have a positive and significant effect on employee performance, with a significance value of 0.040 (<0.05). Simultaneously, talent management and human resource audits have a significant effect on employee performance, with a significance value of 0.003 (<0.05). The coefficient of determination (R²) of 0.217 indicates that talent management and human resource audits explain 21.7% of the variation in employee performance, while the remaining 78.3% is influenced by other variables outside the study.

The Strategic Role of Work-Life Balance in Female Employee Loyalty at the Palu City Building Union

Ririn Safitri — 2026-07-30

This study aims to determine and describe the work-life balance conditions experienced by female employees, identify factors that influence work-life balance, and analyze the strategic role of work-life balance in shaping female employee loyalty at Union Bangunan Kota Palu. This study uses a qualitative approach with a descriptive research type. Research informants consisted of female employees in the service and administration departments selected using purposive sampling techniques. Data collection techniques were carried out through in-depth interviews, observation, and documentation. Data analysis used the Miles and Huberman model which includes data reduction, data presentation, and conclusion drawing. The results show that the work-life balance conditions of female employees at Union Bangunan Kota Palu are influenced by organizational support, flexible work schedules, family support, and a harmonious work environment. The main inhibiting factors include busy working hours, physical fatigue, and high customer service demands. Work-life balance plays a strategic role in shaping female employee loyalty by creating a sense of comfort, job satisfaction, responsibility, and emotional attachment to the organization. Female employees who feel organizational support tend to show higher commitment and desire to stay despite facing considerable work pressure.

The Influence of Instagram Promotions and Free Shipping on Beauty Product Purchase Decisions in Palu City

Awanda Rabila — 2026-07-30

This study aims to determine and analyze the influence of Instagram promotions and free shipping on purchasing decisions for Dobe Palu Shop beauty products. This study is a quantitative study. The study was conducted by distributing questionnaires to 96 people using multiple linear regression analysis methods. The results of the study indicate that partially the Instagram promotion variable has a positive and significant effect on purchasing decisions with a calculated T value of 6.178> T table 1.986 and a significance value of 0.000 <0.05. The free shipping variable also has a positive and significant effect on purchasing decisions with a calculated T value of 6.274> T table 1.986 and a significance value of 0.000 <0.05. Simultaneously, the calculated F value is 96.995> F table 3.09 with a significance value of 0.000 <0.05 and a coefficient value of 0.669 or 66.9%. so it is stated that the variation in purchasing decisions can be explained by the two independent variables and the remaining 31.9% is influenced by factors from other variables outside the scope of this study. This means that Instagram promotions and free shipping have a positive and significant effect on purchasing decisions for beauty products at Toko Dobe Palu

The Influence of Budget Management and the Internal Audit Unit on the Effectiveness of Asset Management at the Youth and Sports Office of Sigi Regency

Nur Syafira Sahido — 2026-07-30

The purpose of the study is to find out and analyze the influence of budget management and internal supervision units on the effectiveness of asset management at the Sigi Regency Youth and Sports Office. The analysis tool in this study uses multiple regression. The results of the study obtained F_{count} were 11.344 while the value of F_{Table} ( α 0.05), numerator = 2 and denumarator = 29 was 1.699. So F_{count} > F_{Table} ( α 0.05) thus, Ho is rejected and Ha is accepted. The results of the rejection of Ho's hypothesis show that the existing evidence supports an alternative hypothesis, namely Ha, which states that there is an influence of Budget Management and Internal Oversight Units together on the Effectiveness of Asset Management at the Sigi Regency Youth and Sports Office.

Analysis of Regional Government Financial Management Performance in Banggai Islands Regency, 2021–2025

Liswan Rusman — 2026-07-30

This study aims to analyze the performance of regional revenue and expenditure management in Banggai Islands Regency during the 2021–2025 period. The study employed a descriptive quantitative approach by analyzing the Regional Government Financial Statements (LKPD) for 2021–2025. The data were obtained from the Regional Revenue, Finance, and Asset Management Agency (BPKAD) of Banggai Islands Regency and analyzed using indicators including the fiscal independence ratio, regional financial efficiency ratio, growth ratio, effectiveness ratio, variance analysis, and expenditure harmony ratio. The results show that the level of fiscal independence was low, while regional financial efficiency was categorized as less efficient. The growth of regional revenue and expenditure fluctuated during the study period. Regional revenue effectiveness was categorized as moderately effective. The expenditure variance resulted in a negative variance, while the expenditure harmony ratio indicated that significant disparities remained among the components of regional expenditure.

Analysis Public Response to the Free Health Check-Up Policy

Andi Marlina — 2026-07-30

The implementation of the Free Health Check Policy, which provides complimentary health screening services to all Indonesian citizens at community health centers (Puskesmas), was initiated to improve public access to healthcare services, increase awareness of the importance of regular health examinations, and encourage greater community participation in preventive health practices. The policy is implemented through the early detection of risk factors and pre-disease conditions by Puskesmas, enabling timely interventions to prevent the onset of diseases or to stop existing conditions from progressing to more severe stages, thereby making treatment more effective. This study aims to examine the extent to which the community in Makassar City, particularly those within the service area of Sudiang Community Health Center (Puskesmas Sudiang), has accessed this service and to identify the challenges encountered in implementing the policy. This research employed a descriptive qualitative approach, with data collected through interviews, observations, documentation, and document analysis, followed by data interpretation and conclusion drawing. The findings indicate that the program has not been adequately disseminated to the public. Since its launch in February 2025, the program has reached only 3% of the total target population within the service area of Puskesmas Sudiang, based on data obtained from the ASIK application dashboard as of May 17, 2026. The study reveals that this low level of participation is primarily attributable to insufficient public dissemination of the program, limited resources, and suboptimal support from healthcare personnel.

Work Engagement, Organizational Culture, and Employee Loyalty in Shaping Performance: A Qualitative Case Study of Sustainability Strategy in a Post-Merger State-Owned Port Operator

Kholilul Kholik — 2026-07-30

This study explores how work engagement, organizational culture, and employee loyalty shape employee performance, with particular attention to the role of sustainability strategy in a post-merger state-owned port operator. A qualitative embedded case study was conducted at PT Pelindo Multi Terminal, involving five purposively selected managerial and strategic informants representing human capital, terminal operations, corporate strategy, and sustainability functions. Data were collected through semi-structured interviews, non-participant observations, and internal document reviews, and were analyzed using thematic analysis supported by coding, constant comparison, analytic memos, and data triangulation. The findings indicate that work engagement contributes to proactive problem-solving, responsiveness, and employee involvement in operational activities, while organizational culture provides behavioral direction and shared values. Employee loyalty supports organizational continuity and commitment, particularly during post-merger transformation. However, these employee-related factors do not consistently translate into performance when sustainability practices are not sufficiently integrated into organizational processes and performance management. Sustainability strategy emerged as a structural and contextual mechanism through which employee engagement, cultural alignment, and loyalty can be translated into more visible and sustainable performance outcomes. The findings further reveal that post-merger cultural heterogeneity, differences in organizational readiness, and uneven internalization of sustainability values can constrain this process. The study contributes to the strategic human resource management literature by highlighting the importance of integrating sustainability strategy with employee-related organizational resources and performance management. Practically, the findings suggest the need for stronger sustainability-oriented performance indicators, participatory mechanisms, and cross-unit cultural integration within post-merger state-owned port organizations.

Factors Related to Thalassemia Screening Awareness in Adolescents from Families with Thallasemia

Natiqotul Fatkhiyah — 2026-07-30

Background: Thalassemia is a hereditary blood disorder with a high prevalence in Indonesia, especially in areas with a history of consanguineous marriages and high carrier rates. Screening awareness in adolescents plays an important role in preventing the birth of children with thalassemia major.

Objective: To analyze factors related to thalassemia screening awareness in adolescents from families with thalassemia.

Methods: This quantitative analytical study used a cross-sectional design. The sample was adolescents aged 15–24 years who had family members with thalassemia (n = 120). The instruments included questionnaires on characteristics, knowledge, attitudes, family support, and access to information. Analysis used chi-square and logistic regression.

Results: Factors significantly related to thalassemia screening awareness were knowledge level (p<0.001), attitude towards screening (p=0.002), family support (p=0.001), experience caring for thalassemia family members (p=0.03), and access to health information (p=0.004). The most dominant factor was family support (OR=3.9).

Conclusion: Thalassemia screening awareness in adolescents is influenced by various personal, social, and environmental factors. Intensive family-based education and adolescent health services are needed to increase awareness of early thalassemia screening.