Studi ini meneliti ketidaksesuaian antara peningkatan kapasitas fiskal daerah dan pengurangan kemiskinan di Provinsi Nusa Tenggara Barat (NTB), 2019–2023. Studi ini menjawab sebuah teka-teki: Indeks Kapasitas Fiskal Daerah NTB meningkat tajam, terutama pada tahun 2022–2023, sementara kemiskinan hanya menurun sedikit dan berfluktuasi. Penelitian ini menggunakan pendekatan kualitatif dengan desain studi kasus instrumental, didukung oleh data kuantitatif tentang kapasitas fiskal dan tren kemiskinan. Data dikumpulkan melalui wawancara mendalam, diskusi kelompok fokus, dan analisis dokumen anggaran daerah, rencana pembangunan, laporan kinerja, dan statistik resmi, kemudian dianalisis secara tematik untuk mengidentifikasi mekanisme yang menghubungkan ruang fiskal dengan hasil sosial. Kepercayaan dipastikan melalui triangulasi sumber dan metode, pengecekan anggota, jejak audit, dan verifikasi lintas sumber. Temuan menunjukkan bahwa peningkatan kapasitas fiskal belum secara efektif mendorong pengurangan kemiskinan karena dibatasi oleh tiga filter tata kelola: fragmentasi kelembagaan di berbagai lembaga pemerintah daerah, dominasi program amal jangka pendek, dan kelemahan dalam sistem data dan penargetan penerima manfaat. Oleh karena itu, kapasitas fiskal merupakan syarat yang diperlukan tetapi tidak cukup untuk keberhasilan kebijakan pengentasan kemiskinan. Kontribusi studi ini terletak pada pengembangan kerangka kerja kapasitas fiskal–filter tata kelola–hasil sosial yang menjelaskan mengapa kapasitas anggaran gagal menghasilkan peningkatan kesejahteraan, memperluas literatur desentralisasi fiskal dengan memposisikan tata kelola sebagai mekanisme mediasi daripada variabel administratif. Implikasi kebijakan meliputi penguatan Tim Koordinasi Pengurangan Kemiskinan Regional, pengintegrasian basis data penerima manfaat, penerapan penganggaran berbasis hasil, promosi evaluasi berbasis bukti, dan peningkatan koordinasi antar lembaga sehingga desentralisasi fiskal dapat bekerja lebih efektif untuk masyarakat miskin di NTB.
This study identifies the contribution of the Future City Hub (FCH) to the Jakarta–Berlin sister city partnership, evaluates its role in Jakarta’s startup ecosystem, and proposes a model of sustainable governance. Using a descriptive qualitative design, we conducted a content analysis of primary, secondary, and tertiary sources. The findings suggest that globalization has shifted the dynamics of international relations, allowing local governments to act in the international arena through paradiplomacy. The Jakarta–Berlin partnership is one such arrangement, operating as an urban living lab that brings together academia, government, industry, and the public to foster innovation. Although the ecosystem surrounding the FCH has faced challenges since European Union funding ended, its host institution, the Jakarta Smart City Management Unit, has been designated a technical implementation unit operating under the regional public service agency financial management pattern, an arrangement that affords greater flexibility in financial management. The findings further indicate that the FCH has supported improvements in the quality of Jakarta’s startups by facilitating knowledge and technology transfer from Berlin. Through this model of paradiplomacy, the FCH may offer a reference point for other cities pursuing international collaboration to drive innovation in support of sustainable regional development. The study is intended to contribute to the development of policies that sustain the startup ecosystem in Jakarta.
This study examines the mismatch between rising regional fiscal capacity and poverty reduction in West Nusa Tenggara (NTB) Province, 2019–2023. It responds to a puzzle: NTB’s Regional Fiscal Capacity Index rose sharply, especially in 2022–2023, while poverty declined only marginally and fluctuated. The research uses a qualitative approach with an instrumental case study design, supported by quantitative data on fiscal capacity and poverty trends. Data were collected through in-depth interviews, focus group discussions, and document analysis of regional budgets, development plans, performance reports, and official statistics, then analyzed thematically to identify the mechanisms linking fiscal space to social outcomes. Trustworthiness was ensured through source and method triangulation, member checking, audit trails, and cross-source verification. The findings indicate that rising fiscal capacity has not effectively driven poverty reduction because it is constrained by three governance filters: institutional fragmentation across regional government agencies, the dominance of short-term charitable programs, and weaknesses in data systems and beneficiary targeting. Fiscal capacity is therefore a necessary but not sufficient condition for anti-poverty policy success. The study’s contribution lies in developing a fiscal capacity–governance filter–social outcome framework that explains why budgetary capacity fails to convert into welfare gains, extending the fiscal decentralization literature by positioning governance as a mediating mechanism rather than an administrative variable. Policy implications include strengthening the Regional Poverty Reduction Coordination Team, integrating beneficiary databases, adopting outcome-based budgeting, promoting evidence-based evaluation, and improving cross-agency coordination so that fiscal decentralization can work more effectively for poor communities in NTB.
ABSTRACT Indonesia ranks second globally in the number of tuberculosis (TB) cases. TB patients experience not only physical impacts but also social problems in the form of self-stigma. Self-stigma is the process of internalizing stigma from the surrounding environment, which can lead to psychological stress, reduced social functioning, and low adherence to medication. Factors such as educational level, knowledge, and attitudes are thought to play a role in the development of self-stigma among TB patients. This study aimed To determine the relationship between educational level, knowledge, attitudes, and self-stigma among drug-sensitive pulmonary tuberculosis patients at Mataram City Regional General Hospital 2025. This study employed a quantitative analytic observational design with a cross-sectional approach. The sampling technique used was consecutive sampling, with a total of 78 respondents. Data were analyzed using the Spearman rank dan Chi-square test. The results of the univariate analysis showed that most respondents had low levels of self-stigma 69 (88,5%), basic educational attainment 29 (37,2%), sufficient knowledge 58 (74,4%), and positive attitudes 68 (87,2%). Bivariate analysis There was no significant relationship between attitudes and self-stigma (p=0,324). In contrast, educational level (p=0,017) and knowledge (p=0,000) showed significant relationships with self-stigma. Educational level and knowledge have a significant relationship with selfstigma among drug-sensitive pulmonary tuberculosis patients, whereas attitudes do not show a significant relationship. Keywords: Educational Level, Knowledge, Attitude, Self-Stigma, Tuberculosis, Drugsensitive. ABSTRAK Indonesia merupakan negara dengan jumlah kasus tuberkulosis (TB) tertinggi kedua di dunia. Pasien TB tidak hanya mengalami dampak fisik, tetapi juga masalah sosial berupa stigma diri. Stigma diri adalah proses internalisasi stigma dari lingkungan sekitar yang dapat menyebabkan stres psikologis, penurunan fungsi sosial, serta rendahnya kepatuhan minum obat. Faktor tingkat pendidikan, pengetahuan, dan sikap diduga berperan dalam terbentuknya stigma diri pada pasien TB. Tujuan Penelitian adalah mengetahui hubungan antara tingkat pendidikan, pengetahuan, sikap dan stigma diri pada pasien TB paru SO di RSUD Kota Mataram. Metode penelitian ini kuantitatif analitik observasional dengan desain penelitian cross sectional. Teknik pengambilan sampel menggunakan consecutive sampling. Sampel penelitian sebanyak 78 responden. Data dianalisis dengan uji spearman rank dan Chi-square. Hasil analisis univariat menunjukkan sebgaian besar responden tingkat pendidikan dasar 29 (37,2%), pengetahuan cukup 58 (74,4%), Sikap positif 68 (87,2%), stigma diri rendah 69 (88,5%). Hasil analisis bivariat menunjukkan Tidak terdapat hubungan signifikan antara sikap dengan stigma diri (p=0,324). Sebaliknya, tingkat pendidikan (p=0,017), dan pengetahuan (p=0,000) menunjukkan hubungan signifikan dengan stigma diri. Kesimpulan penelitian ini adalah tingkat pendidikan, pengetahuan memiliki hubungan signifikan dengan stigma diri pasien TB Paru SO, sedangkan sikap tidak menunjukkan hubungan yang signifikan. Kata Kunci: Tingkap Pendidikan, Pengetahuan, Sikap, Stigma diri, Tuberkulosis, Sensitif obat.
Hipertensi adalah kondisi terjadinya peningkatan tekanan darah sistolik ≥140 mmHg dan/atau tekanan darah diastolik ≥90 mmHg. Hipertensi merupakan salah satu penyebab utama kematian dan prevalensinya terus meningkat setiap tahun, baik di tingkat global maupun nasional. Puskesmas Nipah merupakan salah satu puskesmas yang berada di wilayah pesisir Kabupaten Lombok Utara. Karakteristik masyarakat pesisir, seperti kebiasaan mengonsumsi makanan laut, tingkat aktivitas fisik, dan kualitas tidur, diduga berhubungan dengan kejadian hipertensi. Penelitian ini bertujuan untuk mengetahui hubungan konsumsi makanan laut, aktivitas fisik, dan kualitas tidur dengan kejadian hipertensi pada masyarakat di wilayah kerja Puskesmas Nipah. Penelitian ini menggunakan metode kuantitatif analitik observasional dengan rancangan cross-sectional. Teknik pengambilan sampel menggunakan simple random sampling dengan bantuan Microsoft Excel. Jumlah sampel sebanyak 110 responden yang memenuhi kriteria inklusi dan eksklusi. Analisis data dilakukan menggunakan uji Chi-square dan perhitungan Odds Ratio (OR) dengan 95% Confidence Interval (CI). Hasil penelitian menunjukkan bahwa responden yang mengalami hipertensi sebanyak 66 orang (60%), responden yang sering mengonsumsi makanan laut sebanyak 55 orang (50%), dan responden dengan aktivitas fisik ringan sebanyak 60 orang (54,4%). Terdapat hubungan yang signifikan antara konsumsi makanan laut dengan kejadian hipertensi (p=0,001; OR=2,5; 95% CI=2,7-3,2), aktivitas fisik dengan kejadian hipertensi (p=0,001; OR=2,5; 95% CI=2,1-2,9), serta kualitas tidur dengan kejadian hipertensi (p=0,001; OR=2,7; 95% CI=1,8-2,7). Dengan demikian, dapat disimpulkan bahwa terdapat hubungan yang signifikan antara konsumsi makanan laut, aktivitas fisik, dan kualitas tidur dengan kejadian hipertensi pada masyarakat di wilayah kerja Puskesmas Nipah. The Relationship between Seafood Consumption, Physical Activity, and Sleep Quality and the Incidence of Hypertension in the Nipah Community Health Center Work Area Abstract Hypertension is a condition characterized by an increase in systolic blood pressure of ≥140 mmHg and/or diastolic blood pressure of ≥90 mmHg. Hypertension is one of the leading causes of mortality, and its prevalence continues to rise annually at both global and national levels. Nipah Public Health Center is one of the health centers located in the coastal area of North Lombok Regency. Characteristics of coastal communities, such as seafood consumption habits, physical activity levels, and sleep quality, are suspected to be associated with the incidence of hypertension. This study aimed to determine the relationship between seafood consumption, physical activity, and sleep quality and the incidence of hypertension among residents in the working area of Nipah Public Health Center.This study employed a quantitative analytical observational method with a cross-sectional design. Samples were selected using a simple random sampling technique with the assistance of Microsoft Excel. A total of 110 respondents who met the inclusion and exclusion criteria participated in the study. Data were analyzed using the Chi-square test and Odds Ratio (OR) calculations with a 95% Confidence Interval (CI).The results showed that 66 respondents (60%) had hypertension, 55 respondents (50%) frequently consumed seafood, and 60 respondents (54.4%) engaged in light physical activity. There was a significant association between seafood consumption and hypertension (p = 0.001; OR = 2.5; 95% CI = 2.7–3.2), physical activity and hypertension (p = 0.001; OR = 2.5; 95% CI = 2.1–2.9), as well as sleep quality and hypertension (p = 0.001; OR = 2.7; 95% CI = 1.8–2.7). Therefore, it can be concluded that seafood consumption, physical activity, and sleep quality are significantly associated with the incidence of hypertension among residents in the working area of Nipah Public Health Center.
