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Articles 1441 - 1470 of 33235
Full-Text Articles in Entire DC Network
Sexually Transmitted Infection Prevention Project As Community-Engaged Scholarship, Young-Me Lee, Susan Poslusny, Sara Anderson, Howard Rosing
Sexually Transmitted Infection Prevention Project As Community-Engaged Scholarship, Young-Me Lee, Susan Poslusny, Sara Anderson, Howard Rosing
Journal of Community Engagement and Higher Education
This article describes the results of a 6 month integrated community service and service learning project aimed at the high prevalence of sexually transmitted infection (STI) in a largely immigrant Latino and African-American community area. A total of 64 participants were screened and six positive cases were identified. Results indicated that the adolescents studied lacked proper knowledge regarding safe sex and healthy behaviors, and most refused treatment despite providing anonymous education, screening and treatment services.
Engaged Citizenship: Public Discourse As A Foundational Communication Course, Leila Brammer, Sarah Wolter
Engaged Citizenship: Public Discourse As A Foundational Communication Course, Leila Brammer, Sarah Wolter
Journal of Community Engagement and Higher Education
Public speaking is historically situated at the intersection of public discourse and community engagement, although meeting both tenets can be a challenge. In response, the Communication Studies department at a liberal arts college replaced its traditional Public Speaking course with Public Discourse, a course shaped by an extensive civic engagement project. Analysis of student, project, community, and departmental outcomes demonstrate the effectiveness of this new course in preparing students for lives as engaged citizens.
Design And Implementation Of A Service Learning Course And Project: The File Of Life, Theresa Mccullough
Design And Implementation Of A Service Learning Course And Project: The File Of Life, Theresa Mccullough
Journal of Community Engagement and Higher Education
This article details a service learning course within a pharmacy curriculum. For the service learning project, pharmacy students in their first professional year assisted community members with completion of File of Life medical information cards at various locations in Southern Illinois. Students reached over 750 community members. This project increased students’ level of confidence in delivering health-related programs and also encouraged them to participate in community service in the future. Based on feedback, the experience was beneficial.
Community Partner Perceptions About Community Engagement Experiences For Nursing Students, Judith E. Wattman, Marjorie A. Schaffer, Maureen J. Juarez, Leanne L. Rogstad, Timothy Bredow, Sara E. Traylor
Community Partner Perceptions About Community Engagement Experiences For Nursing Students, Judith E. Wattman, Marjorie A. Schaffer, Maureen J. Juarez, Leanne L. Rogstad, Timothy Bredow, Sara E. Traylor
Journal of Community Engagement and Higher Education
This study explored community agency staff perceptions about community engagement learning experiences for nursing students. Focus groups with staff from eleven health-related community organizations revealed seven themes that will contribute to effective curriculum development and implementation for community engagement: (a) agency expectations for students, (b) orientation, (c) schedule of student experiences, (d) invested student participation, (e) student match with agencies, (f) projects envisioned, and (g) effective interactions with the population. Practice implications for developing community engagement learning experiences are suggested.
Evaluating The Impact Of Seed Money Grants In Stimulating Growth Of Community-Based Research And Service-Learning At A Major Public Research University, Judith A. Jetson, Mary E. Evans, Wendy Hathaway
Evaluating The Impact Of Seed Money Grants In Stimulating Growth Of Community-Based Research And Service-Learning At A Major Public Research University, Judith A. Jetson, Mary E. Evans, Wendy Hathaway
Journal of Community Engagement and Higher Education
At a major research university, community engagement must intersect with research productivity and attract external funding to be well-regarded. At USF, community engagement increased its value to the institution by using seed grants for community-based research and service-learning projects. Between 1998 and 2006, 132 projects received $1.65 million in seed money from general revenue and local government funds, bringing over $9 million in grants to USF, a return on investment of approximately 6-to-1.
Providing Counseling Services In An Off-Campus Clinic: A Blueprint For Creating A Successful Partnership, Judith A. Nelson, Mary Nichter
Providing Counseling Services In An Off-Campus Clinic: A Blueprint For Creating A Successful Partnership, Judith A. Nelson, Mary Nichter
Journal of Community Engagement and Higher Education
We offer a blueprint for creating an off-campus clinic through a university, school district, and community partnership. The facility which is housed in the school district provides university students with direct counseling experiences with clients who have genuine needs, allows the university to expand its goal of providing for the public good, and benefits the school district by enabling it to grow its own school counselors who currently teach in the district.
Roots Of Justice: A History Of Race And Racism In Nebraska, Kevin Abourezk, M. Dewayne Mays, Paul Olson, Gabriel Bruguier, Preston Love Jr., Adam Fletcher Sasse, Heather Fryer, J.S. Onésimo (Ness) Sándoval, Sharon Ishii-Jordan, Emira Ibrahimpašić, Julia Reilly
Roots Of Justice: A History Of Race And Racism In Nebraska, Kevin Abourezk, M. Dewayne Mays, Paul Olson, Gabriel Bruguier, Preston Love Jr., Adam Fletcher Sasse, Heather Fryer, J.S. Onésimo (Ness) Sándoval, Sharon Ishii-Jordan, Emira Ibrahimpašić, Julia Reilly
Zea E-Books Collection
There is much to understand about the history of Nebraska and how the past shapes the present. This book attempts to bring into clearer focus the triumphs and trials of five broad groups whose lives have often been overlooked when the state’s history is told. The authors know some of this history of racism firsthand: Most of them have lived as people of color in Nebraska. They’ve experienced “the good, the bad and the ugly” that makes up our state story. We encourage educators, scholars and family historians to continue to dig, to document and to tell these stories. And …
Chinese Prostitution Policies From 1949 To 2024 : An Analysis From The Perspectives Of Marxism, Political Economy, Cultural Citizenship, And Feminism, Ning He
Lingnan Theses (MPhil & PhD)
Existing scholarship on Chinese prostitution control largely focuses on limited historical periods, legal regulations, or single theoretical perspectives, leaving a gap in understanding how Chinese prostitution policies have evolved from a historical perspective across the entire post-1949 era. This study aims to fill this gap by addressing four research questions: (a) What were the main changes in Chinese prostitution policies from 1949 to 2024? (b) How far can the four approaches (Marxism, political economy, cultural citizenship, feminism) effectively explain the nature of Chinese prostitution policies in different periods? (c) What are the main factors shaping Chinese prostitution policies in different …
Review Of: Practical Radicals: Seven Strategies To Change The World, Bill Droel
Review Of: Practical Radicals: Seven Strategies To Change The World, Bill Droel
The Journal of Social Encounters
No abstract provided.
Review Of: Election 2024 South Africa: Countdown To Coalition, Gary Prevost
Review Of: Election 2024 South Africa: Countdown To Coalition, Gary Prevost
The Journal of Social Encounters
No abstract provided.
The Conflict In Sudan: An Overview, Mad Gabriel
The Conflict In Sudan: An Overview, Mad Gabriel
The Journal of Social Encounters
It has been more than two years since the war erupted in Sudan. Although the crisis initially started between two warring parties, it has expanded beyond the two with the involvement of multiple actors. However, the current conflict is complicated and has deep historical origins. It increased after the 2019 revolution, with the Sudanese Armed Forces (SAF) and Rapid Support Forces (RSF) battling for power and control. On the other hand, the situation has deteriorated dramatically, as the economy suffered from the continuation of the war, according to the International Monetary Fund (IMF). Additionally, Health systems have crumbled, schooling has …
Sudan: A War Of Atrocities Report Of The Independent International Fact-Finding Mission For The Sudan, - Annual Report Of The United Nations High Commissioner For Human Rights And Reports Of The Office Of The High Commissioner And The Secretary-General
Sudan: A War Of Atrocities Report Of The Independent International Fact-Finding Mission For The Sudan, - Annual Report Of The United Nations High Commissioner For Human Rights And Reports Of The Office Of The High Commissioner And The Secretary-General
The Journal of Social Encounters
This report documents attacks on civilians and objects essential for their survival in Sudan. It concludes that both parties to the conflict violated international human rights and humanitarian law, with most violations amounting to war crimes. The Rapid Support Forces’ conduct may also constitute crimes against humanity, including persecution and extermination. The report calls for accountability and sets out a roadmap for justice.
Dalit And Tribal Women As Ecological Victims, Dhinakaran Savariyar
Dalit And Tribal Women As Ecological Victims, Dhinakaran Savariyar
The Journal of Social Encounters
The essay examines the ecological marginalization of Dalit and tribal women in India, especially by analysing the three points of intersection, namely, caste, patriarchy, and gender. Though it starts with a global outlook on the African water crisis, it substantiates the argument with Indian realities of water inequality and resource depletion. While showing caste as the root cause of water discrimination in the country, it exposes the abetting roles of patriarchy and gender in keeping the Dalit and tribal women at the lowest position in the Indian social fabric. Environmental casteism and exclusion from decision-making processes add to the invisibility …
Engaging The Somali Diaspora: A Case Study Of One Agency’S Community Programming Approach, Farhia Abdi
Engaging The Somali Diaspora: A Case Study Of One Agency’S Community Programming Approach, Farhia Abdi
The Journal of Social Encounters
This case study investigates how a local community agency engages with the Somali diaspora to design and implement culturally responsive services, such as the Settlement and Integration Program. It also explores the potential of fostering meaningful dialogue with community members to inform the development of culturally sensitive programming. The research question guiding this study was developed by findings from previous research, which highlighted the significance of community engagement, sustained dialogue, and the necessity for agencies to design clearly defined programs. These programs should prioritize active participation from community members in both the creation and implementation of tailored initiatives.
Willingness To Pay For A Restored And Protected Watershed: Evidence From The Countryside, Sherrie Ann Cananua-Labid, Julie Ann M. Quilatan, Lovely Rose A. Bolante
Willingness To Pay For A Restored And Protected Watershed: Evidence From The Countryside, Sherrie Ann Cananua-Labid, Julie Ann M. Quilatan, Lovely Rose A. Bolante
Makara Human Behavior Studies in Asia
Climate change and human activity have severely degraded watersheds, jeopardizing their sustainability. The willingness of residents to pay for watershed management is essential for developing sustainable environmental protection efforts. This study determined the respondents' willingness to pay (WTP) for the restoration and protection (RP) of the Ulot Watershed of Samar Island Natural Park using a double-bounded dichotomous choice contingent valuation approach. The researchers used the Kish grid method to draw respondents from 150 households. The study revealed that families with an average annual income of approximately $2746.70 were ready to contribute $0.78 per month, or $9.36 annually, to the watershed …
Education And Fertility: Evidence From An Instrumental Variable Approach Using Higher Education Expansions In Turkey, Badi H. Baltagi, Haci M. Karatas
Education And Fertility: Evidence From An Instrumental Variable Approach Using Higher Education Expansions In Turkey, Badi H. Baltagi, Haci M. Karatas
Center for Policy Research
This paper examines the impact of higher education on women’s fertility behavior in Turkey. To address the endogeneity of education we use the plausibly exogenous variation in college availability in Turkey between 1983 and 2000. We find that increased education of women in Turkey significantly reduced the number of children and increased the probability of childlessness at the end of the fecund period. The effect of education on fertility worked through a postponement in first births at ages following college graduation until the age of 35, an improvement in women’s labor market outcomes, better marriage market outcomes, and use of …
Mymoney: A Program That Leverages Digital And Artificial Intelligence Tools For Improving The Financial Wellbeing Of Hispanic Families, Luisa Blanco, Kamila Campos, Jessica Gonzalez, Jorge Macias
Mymoney: A Program That Leverages Digital And Artificial Intelligence Tools For Improving The Financial Wellbeing Of Hispanic Families, Luisa Blanco, Kamila Campos, Jessica Gonzalez, Jorge Macias
School of Public Policy Working Papers
Abstract: Our Community-Based Digital Intervention (CBDI) MyMoney was designed to meet the informational needs and promote behavioral change among Hispanic adults. We leverage Digital and Artificial Intelligence (DAI) tools to provide participants access to content that is linguistically and culturally tailored and structured to be delivered in short, accessible modules. MyMoney program provided an introductory experience to financial education with a mobilephone based approach, offering a four-week experience for improving money management skills. We conducted an extensive quantitative and qualitative data analysis of participants’ and stakeholders’ program experience and perspectives, which provides important insights for the design, evaluation, and implementation …
Budget Tradeoffs Shape Food Insecurity Among U.S. Older Adults, Madonna Harrington Meyer, Colleen M. Heflin
Budget Tradeoffs Shape Food Insecurity Among U.S. Older Adults, Madonna Harrington Meyer, Colleen M. Heflin
Population Health Research Brief Series
For low-income older adults, it may be difficult to meet basic needs on a fixed monthly income. Stretching resources can be difficult, especially if unexpected expenses arise, leading many older adults to face difficult budget tradeoffs. Based on the book, Food for Thought: Understanding Older Adults Food Insecurity, this brief summarizes how budget tradeoffs between food and other essential expenses—housing, utilities, medical care, transportation, and personal and cleaning supplies—shape food insecurity among older adults.
Upper Peninsula Regional Economic Development Strategy, Iryna V. Lendel, Chloe Wieber, Gerrit Anderson, Sevrin Williams
Upper Peninsula Regional Economic Development Strategy, Iryna V. Lendel, Chloe Wieber, Gerrit Anderson, Sevrin Williams
Upjohn Institute Technical Reports
This comprehensive report describes the economy of Michigan’s Upper Peninsula, outlining both persistent issues and emerging opportunities. The region faces several structural challenges, including a decline in prime-age workers and bachelor’s degree attainment that falls below state and national averages, while shortages in housing and healthcare further limit its ability to attract and retain residents. Despite those challenges, the U.P.’s universities, longstanding industries, abundant natural resources, and robust outdoor recreation economy provide strong foundations for future development. The report recommends strategies such as strengthening retention of the talent pipeline, expanding housing and healthcare capacity, fostering small and mid-sized firms in …
A Qualitative Exploration Of Child, Caregiver, And Clinician Perspectives On Mental Health In Children With Osteogenesis Imperfecta, Justin H Qian, Andrew D Wiese, Clarissa Gonzalez, Whitney S Shepherd, Hannah Cho, Gianna M Colombo, Julia M Morales, Selena Guo, Kristin M Kostick-Quenet, Dianne Nguyen, Sophie C Schneider, Kara Ayers, Members Of The Bbdc, Marie-Eve Robinson, Chaya N Murali, Brendan Lee, V Reid Sutton, Eric A Storch
A Qualitative Exploration Of Child, Caregiver, And Clinician Perspectives On Mental Health In Children With Osteogenesis Imperfecta, Justin H Qian, Andrew D Wiese, Clarissa Gonzalez, Whitney S Shepherd, Hannah Cho, Gianna M Colombo, Julia M Morales, Selena Guo, Kristin M Kostick-Quenet, Dianne Nguyen, Sophie C Schneider, Kara Ayers, Members Of The Bbdc, Marie-Eve Robinson, Chaya N Murali, Brendan Lee, V Reid Sutton, Eric A Storch
Center for Medical Ethics and Health Policy Staff Publications
Osteogenesis imperfecta (OI) is a heritable connective disorder with clinical manifestations including bone fragility and short stature. Previous research identified psychosocial themes related to mental health among children with OI and their caregivers, such as independence, social isolation, depression, and anxiety. Several studies have also examined clinicians of individuals with OI for their perspectives on mental health among their patients. However, no known studies have compared psychosocial themes among all three participant groups concurrently. This qualitative study examined mood and anxiety, along with risk and protective factors, from perspectives of youths, parents, and clinicians. Semi-structured interviews were conducted, which were …
Modeling Musculoskeletal Combat Casualty Care: Nato Trauma System Performance In Large Scale Combat Operations, Mark P. Cote, Kaitlyn E. Holly, Roman J. Schoenfeld, Matthew R. Bryan, Malina O. Hatton, Mitchel B. Harris, Tracey P. Koehlmoos, Andrew J. Schoenfeld
Modeling Musculoskeletal Combat Casualty Care: Nato Trauma System Performance In Large Scale Combat Operations, Mark P. Cote, Kaitlyn E. Holly, Roman J. Schoenfeld, Matthew R. Bryan, Malina O. Hatton, Mitchel B. Harris, Tracey P. Koehlmoos, Andrew J. Schoenfeld
Department of Orthopaedic Surgery Faculty Papers
BACKGROUND: It is unclear whether the current North Atlantic Treaty Organization (NATO) trauma system will be effective in the setting of Large-Scale Combat Operations (LSCO). We sought to model the efficacy of the NATO trauma system in the setting of LSCO. We also intended to model novel scenarios that could better adapt the current system to LSCO.
METHODS: We developed a discrete-event simulation model for patients with combat musculoskeletal injuries treated within the standard NATO system. The primary outcome of the model was survival. The model's health states were characterized as stable, hypovolemia, sepsis, shock, or death. The model simulated …
The Cost Of Malnutrition In Older Adults In The Mountain West, 2020, Taylor Volk, Anirudh Polagani, Olivia K. Cheche, Kristian Thymianos, Caitlin J. Saladino, William E. Brown Jr.
The Cost Of Malnutrition In Older Adults In The Mountain West, 2020, Taylor Volk, Anirudh Polagani, Olivia K. Cheche, Kristian Thymianos, Caitlin J. Saladino, William E. Brown Jr.
Health
This fact sheet presents 2020 data on the annual costs of disease-associated malnutrition for adults aged 65 years and older across the five Mountain West states of Arizona, Colorado, Nevada, New Mexico, and Utah. The data are sourced from “Advancing Policies for Quality Malnutrition Care in Older Adults: A Toolkit for State Legislators,” a report published by Defeat Malnutrition Today and Women in Government.
Policy Recommendations To Reduce Old Age Food Insecurity In The United States, Colleen M. Heflin, Madonna Harrington Meyer
Policy Recommendations To Reduce Old Age Food Insecurity In The United States, Colleen M. Heflin, Madonna Harrington Meyer
Center for Policy Research
In 2023, 7.4 million adults ages 60 and over in the United States were food insecure. As the number of older people at risk of food insecurity in the U.S. continues to rise, effective policy responses are critical. The current policy responses to old age food insecurity are complex, costly, and not nearly effective enough.
Based on the book, Food for Thought: Understanding Older Adults Food Insecurity, this brief summarizes five policy recommendations to improve food insecurity among U.S. older adults. The authors recommend measuring food security in multidimensional ways, treating food insecurity as a health issue, adopting SNAP …
How Is Food Insecurity Measured In The United States And What Share Of Older Adults Are Food Insecure?, Colleen M. Heflin, Madonna Harrington Meyer
How Is Food Insecurity Measured In The United States And What Share Of Older Adults Are Food Insecure?, Colleen M. Heflin, Madonna Harrington Meyer
Population Health Research Brief Series
The U.S. Department of Agriculture measures food insecurity based on whether households had problems affording food during the last twelve months. Based on the current definition, in 2023 9.2% of households with adults ages 60 and older were food insecure. But there are many problems with the existing definition for accurately capturing food insecurity among older adults.
Based on the book, Food for Thought: Understanding Older Adults Food Insecurity, this brief summarizes those limitations, noting that existing measures do not account for barriers that are common among older adults, such as mobility, physical distance, and transportation barriers.
Exploring The Landscape Of Teacher Applications, Dan Goldhaber, Cyrus Grout, Constance A. Lindsay, Elton Mykerezi, Aaron Sojourner, Lauren Dachille
Exploring The Landscape Of Teacher Applications, Dan Goldhaber, Cyrus Grout, Constance A. Lindsay, Elton Mykerezi, Aaron Sojourner, Lauren Dachille
Upjohn Institute Working Papers
Despite widespread concern about teacher shortages, there is little evidence on when teaching positions are posted and how many people apply for them. Using detailed job-posting and application data on nearly 57,000 applicants from 19 traditional school districts and 24 charter organizations, we provide descriptive evidence on the timing of job postings, the supply of applicants, and the characteristics of applicants, emphasizing how each varies across organizations and between the district and charter sectors. We find that late hiring is less prevalent than prior single-district studies suggest—about 11% of openings are posted late—but varies widely across organizations. Applicant supply differs …
African Swine Fever In Indonesia: Insights From Southeast Asia’S Policy Response Through The One Health Approach, Niken Salindri, Wachyu Sulistiadi
African Swine Fever In Indonesia: Insights From Southeast Asia’S Policy Response Through The One Health Approach, Niken Salindri, Wachyu Sulistiadi
Journal of Indonesian Health Policy and Administration
African Swine Fever (ASF) seriously threatens pig production systems, food security, and rural livelihoods across Southeast Asia. This study employs an analysis of secondary national data from Indonesia using a quantitative descriptive analysis approach, complemented by regional policy responses to ASF from 2019 to 2024. To contextualize regional findings, this study also integrates official statistics from Statistics Indonesia (BPS) covering provincial pork production trends (2021–2023), the number of ASF-affected pigs per province (2020–2024), and per capita pork consumption by district. Quantitative data show that ASF outbreaks have been disproportionately concentrated in specific provinces such as East Nusa Tenggara and North …
Overview Of A Hospital Management Information System Using The Hot-Fit Method In Medan Hospitals In 2025, Grace Putri Laia, Hotmarina Lumban Gaol, Jev Boris
Overview Of A Hospital Management Information System Using The Hot-Fit Method In Medan Hospitals In 2025, Grace Putri Laia, Hotmarina Lumban Gaol, Jev Boris
Journal of Indonesian Health Policy and Administration
Hospital Management Information System (SIMRS/HMIS) is crucial in ensuring efficiency and quality in hospital services by integrating clinical and administrative functions. This study aims to evaluate the implementation of HMIS at Medan Adventist Hospital in 2025 using the Human-Organization-Technology Fit (HOT-Fit) framework. A descriptive design with total sampling was employed, involving 70 respondents comprising medical records staff, inpatient and outpatient registration staff, and ward officers. Data were collected through a structured questionnaire adapted from a validated instrument (validity 0.690–0.900; reliability 0.841–0.911) and analyzed using descriptive statistics. The results showed a high level of implementation in all HOT-Fit domains: system use …
The Jokowi Effect On The Victory Of Prabowo: Do People Vote For Continuity?, Cakra Yudi Putra, Dyah Ayu Febriani, Andri Tantyo Cahyo Nugroho, Teguh Dartanto
The Jokowi Effect On The Victory Of Prabowo: Do People Vote For Continuity?, Cakra Yudi Putra, Dyah Ayu Febriani, Andri Tantyo Cahyo Nugroho, Teguh Dartanto
Economics and Finance in Indonesia
The 2024 Indonesian presidential election marked a striking realignment as Prabowo Subianto—a former opposition leader—secured victory with the tacit endorsement of outgoing President Joko Widodo (Jokowi). This study investigates how the enduring popularity and policy achievements of Jokowi shaped voter preferences in favor of Prabowo, effectively positioning the election as a referendum on political continuity. Building on theories of economic voting and retrospective performance evaluation, the analysis explores the impact of district-level economic indicators, social media penetration, ideological orientation, social assistance distribution, and sociocultural characteristics on electoral outcomes. Employing Ordinary Least Squares (OLS) regression on data from 481 administrative regions, …
A Qualitative Study Of Cash Welfare Assistance Recipients’ Preparedness For Economic Self-Sufficiency, Kimberly Pickens
A Qualitative Study Of Cash Welfare Assistance Recipients’ Preparedness For Economic Self-Sufficiency, Kimberly Pickens
Walden Dissertations and Doctoral Studies
Single mothers receiving cash welfare assistance through the Temporary Assistance for Needy Families (TANF) program, may not be prepared for economic self-sufficiency due to TANF’s primary focus on employment and limited focus on self-sufficiency barriers. Past studies have found that cash welfare assistance recipients may not become self-sufficient due to low-wage employment, limited education, and the lack of a public policy-based standardization of the concept of economic self-sufficiency. The purpose of this study was to examine the experiences of single mother TANF recipients pursuing economic self-sufficiency through the lens of the capabilities approach, life chances theory, and the feminization of …
The Effects Of Input And Characteristic Factors On Contact Rate Achievement Among Puskesmas In Indonesia, Iqbal Andri Makarim, Pujiyanto Pujiyanto
The Effects Of Input And Characteristic Factors On Contact Rate Achievement Among Puskesmas In Indonesia, Iqbal Andri Makarim, Pujiyanto Pujiyanto
Journal of Indonesian Health Policy and Administration
The contact rate is the lowest-performing indicator in the Performance-Based Capitation Payment system initiated by BPJS Kesehatan. Analysis of the 2019 National Health Facility Research (Rifaskes) data showed that less than half of Puskesmas in Indonesia achieved the target. This cross-sectional study analyzed 5,384 Puskesmas from the 2019 Rifaskes to examine the effect of input and characteristic factors on achieving the contact rate. Independent variables included health worker ratios (doctors, nurses, midwives per 5,000 participants), completeness of essential medical equipment, communication facilities, P-Care application use, and Puskesmas characteristics. Multivariate logistic regression identified four significant factors: doctor ratio (OR=1.06; p<0.0001), midwife ratio (OR=1.01; p=0.033), completeness of essential medical equipment (OR=1.16; p=0.029), and BLUD-based financial management (OR=1.13; p=0.029). These factors explained only 2.6% of the variance (Nagelkerke R²=0.026), suggesting other unmeasured influences. Policy implications include equitable distribution of health personnel, targeted procurement of essential equipment, strengthening financial autonomy through BLUD, and optimizing P-Care data utilization to improve service accessibility and performance.