Countries in the Greater Mekong Subregion (GMS) have committed to eliminating malaria by 2030. The success of a national malaria programme's transition from malaria control to elimination is dependent on the readiness of the health system to implement malaria elimination strategies. Understanding the readiness of health systems and what needs to be adapted is key to identifying barriers in achieving malaria elimination goals. This study aims to assess health system needs for malaria elimination, identify national-level barriers to effective implementation, and provide recommendations for policymakers and programme managers to strengthen strategies through a health system perspective. A multi-country qualitative study was conducted in the GMS. Semi-structured interviews were conducted with 39 stakeholders including national malaria policymakers (n = 5), basic health staff from Ministries of Health (n = 12), managers and field supervisors from malaria implementing partners (n = 16) and personnel from technical agencies (n = 6). Reflexive thematic analysis of national level health system requirements was carried out aligned with themes adapted from the World Health Organization(WHO) health system building blocks. Stakeholders discussed that malaria elimination required inputs from all six WHO health system building blocks at the national level. Major inputs included strong political commitment, targeted interventions for high-risk groups, reliable forecasting and supply chains, skilled workforce, and robust quality assurance. Furthermore, National Malaria Elimination Programmes should expand access to diagnostic kits and medicines and enforce mandatory glucose-6-phosphate dehydrogenase enzyme testing. Stakeholders identified health system barriers such as the lack of targeted interventions in high-risk groups in national policies, incomplete reporting from private sector, lack of experienced workforce for elimination, administrative constraints in supply chain, declining malaria funding from international donors, and poor compliance to regulations for malaria elimination. For malaria elimination in the GMS to succeed, comprehensive health system strengthening across all six building blocks is essential. National programmes must assess national health system readiness for malaria elimination to avoid inefficiencies, financial strain, and unattended gaps, using a systems thinking approach. This study also highlighted the importance of evaluating the national programmes from the perspective of health system needs and readiness for successful transitioning from control to elimination phase.

Abstract Introduction The 2022 Geriatrics Medicine curriculum mandates that trainees demonstrate competence in leadership and management (1). The NHS Long Term Plan and Clinical Leadership Framework emphasise the need to develop clinical leaders capable of driving service improvement across the system (2, 3). However, structured leadership and Quality Improvement (QI) training within higher specialty training remains limited, as demonstrated by recent national evidence (4–5). This one-day teaching programme aimed to provide targeted training aligned with curriculum and NHS priorities. Method A one-day teaching programme was delivered to Higher Specialty Trainees in Geriatric Medicine. The lecture-based curriculum included sessions on the Clinical Directors’ strategic vision, the role of QI within a hospital, case-based discussion on how to establish a new service and how to maintain and improve an existing service. Lectures were delivered by consultant geriatricians with management experience and introduced other leadership roles within the hospital system, including a QI Director, Consultant Therapists, and Clinical Programme Group (CPG) Transformation Programme Manager. Pre-course questionnaires assessed baseline understanding; post-course feedback evaluated perceived impact and confidence. Results Pre-course data indicated low confidence (demonstrated by self-rating confidence on a 5-point Likert scale) in key domains: understanding of clinical director role (12.5%), service development (12.5%), and departmental management structures (8.3%). Post-course responses demonstrated marked improvements in understanding: clinical director role (76.5%), service development (79.4%), and management structures (76.5%). All participants found the programme helpful and relevant (100%). Practical guidance for establishing a new service such as front-door frailty were particularly well-rated. Qualitative feedback highlighted the value of real-world examples and the insight provided by a range of hospital leaders. Conclusion This programme significantly improved trainees’ confidence in leadership and service development, addressing known gaps in current postgraduate training provision. By aligning with curriculum standards and NHS leadership goals, it offers a replicable model for embedding leadership development in geriatric medicine training. There is scope for a programme such as this to be rolled out to higher specialty trainees in geriatric medicine nationwide.

The concepts and standards of teacher certification provide a scientifically sound approach to addressing issues such as unclear practical teaching objectives, single content, irregular management, and inadequate safeguards in preschool education programs. This approach centers on a comprehensive practical teaching system structured around “four modules and three tiers”: a content framework encompassing skill training, course-based practice, educational practice, and innovative practice; and a management system grounded in dual-mentor guidance and institutional protocols. This model offers a reference framework for practical teaching in preschool education programs at private applied universities.

Federal rules governing opioid treatment programs (OTPs)-altered during and in the aftermath of the COVID-19 public health emergency-granted OTPs greater flexibility in clinical care (eg, take-home methadone doses, telehealth). Revised rules have not appeared to impact patient safety and were largely welcomed by patients and clinicians. Despite this, OTPs varied in adoption, and some have returned to pre-pandemic practice. In this qualitative study, we examined variation in clinical practices across U.S. Department of Veterans Affairs (VA) OTPs following the opportunity for reform, as well as the beliefs and perspectives of OTP administrators that may shed light on variability in decisions to adopt programmatic changes. We contacted OTP administrators (medical directors, program managers) at all 33 VA OTPs nationally. We conducted semi-structured interviews from September 2023 to June 2024. Data were analyzed using an inductive-deductive analytic approach employing the framework method. Transcripts were coded and charted into a framework matrix that included site characteristics, clinical practices and requirements, and summaries of domains developed during the coding stage, allowing for comparison across sites. Administrators from 28/33 VA OTPs completed interviews. Participants described diverse clinic policies regarding take-home schedules, frequency and response to toxicology testing, and requirements to attend groups. Telehealth utilization increased in almost all locations. Decisions to adopt more flexible clinical requirements appeared to reflect differential perceptions of patient and community risks and beliefs about the effects of the regulations on the therapeutic environment. While leaders appreciated the opportunity to individualize treatment, they also expressed a need for guidance to ensure consistent, equitable care. This study reveals variation in OTP clinical practice across VA in the wake of regulatory reform. To inform decision-making in the new regulatory environment, research examining the effects of OTP clinical practices on patient engagement, retention, and quality of care should be prioritized.

ABSTRACT A key challenge in acquisition is the understanding of the effects of technological maturity and critical integrations at the subsystem and component level. To address this shortfall, recent research involves combining the metrics known as the integration readiness levels and technology readiness levels to calculate the system readiness level. However, these calculations are still not widely adopted and can be improved with more robust quantitative methods to provide the program manager with a useful tool prior to committing to major weapons acquisition programs. This research ties the separately developed manufacturing readiness level as well as human readiness level with technology readiness level into a common framework to address current shortfalls, including the lack of integration weighting and the over‐importance of a single extremely immature component. The approach has the desirable property that a tightly integrated subsystem will not have a higher System Readiness Level than an inherently less coupled subsystem. Summary For the acquisition practitioner, a mathematically robust method to calculate the System Readiness Level would enable its implementation as a standard practice in large programs. In turn, this aids in indicating future likelihood of system development and fielding success, especially when the system, as a whole, needs to deliver a holistic functional capability. This paper synthesizes mathematical contributions to the System Readiness Level, incorporates additional readiness levels, and models further aspects of system integration to address shortcomings in previous methods.

The Veterans Health Administration (VHA) greatly expanded the proportion of health care services it purchases from community providers over the last decade, which could impact the quality of care and create care fragmentation. Continuity of care between inpatient and outpatient care delivery systems is critical for high-quality mental health care. To compare rates of outpatient follow-up visits between VHA-purchased and VHA-delivered psychiatric hospitalizations, overall and by VHA facility. Using VHA electronic medical records and community care claims data, we compared 7-day and 30-day outpatient follow-up rates across VHA-purchased and VHA-delivered settings. We estimated follow-up rates and comparisons overall as well as separately for 4 diagnosis groups and separately across VHA facilities. Our sample included 64,784 hospitalizations; more than 30% were VHA-purchased as opposed to VHA-delivered. Compared with VHA-delivered hospitalizations, follow-up rates were 30.1 (95% CI: 27.8-32.5) percentage points lower at 7 days and 22.5 (95% CI: 20.8-24.1) percentage points lower at 30 days for VHA-purchased hospitalizations. Lower follow-up rates occurred for neurocognitive disorder discharges for both VHA-purchased and delivered care. Follow-up rates at 30 days were significantly lower for VHA-purchased hospitalizations at 121 out of 128 facilities and significantly higher at no facility. VHA enrollees seeking mental health care and VHA program managers could benefit from data on psychiatric care quality differences between community providers and VHA providers. From a system perspective, VHA-purchased care quality reports and value-based purchasing contracts could include outpatient follow-up quality measures to incentivize higher quality care.

Indonesia’s Free Nutritious Meal Program (Makan Bergizi Gratis/MBG) is a strategic initiative aimed at enhancing child nutrition and educational outcomes nationwide. However, its implementation faces persistent challenges related to human resource capacity, institutional coordination, and program management. This study conducts a bibliometric analysis of 116 Scopus-indexed journal articles (2020–2025) to map global research trends in school feeding programs, focusing on human resource management and capacity building. Using VOSviewer, we identified five dominant thematic clusters: (1) capacity building and health promotion, (2) clinical nutrition interventions, (3) food security and policy governance, (4) education and organizational management, and (5) stakeholder engagement and leadership. "Capacity building" emerged as a central node across all themes, underscoring its foundational role in program sustainability. The findings offer a conceptual framework to inform Indonesia’s MBG implementation, highlighting the need for cross-sectoral coordination, localized capacity development, and professional training systems. This study contributes to evidence-based policy design by aligning Indonesia’s MBG initiative with global best practices in school nutrition governance.

The management quality of Corporate Social Responsibility (CSR) programs has become a critical concern, particularly for environmental initiatives that are often implemented symbolically and lack long-term sustainability. From an operations management perspective, such programs can be viewed as community-based operations that require systematic quality management to ensure consistent performance and impact. This study aims to evaluate the quality management practices of an environmental CSR program implemented through the Kampung Ramah Lingkungan (KRL) initiative in Bogor Regency, Indonesia, using a Total Quality Management (TQM) framework. A qualitative descriptive approach with an evaluative case study design was employed. Data were collected through in-depth interviews, field observations, and document analysis involving corporate CSR representatives, program managers, and beneficiary communities. The evaluation focused on five TQM dimensions: continuous improvement, employee empowerment, just-in-time, knowledge of TQM tools, and customer focus. The findings indicate that the CSR program has moderately implemented TQM principles, particularly in continuous improvement, community empowerment, and alignment with local needs. However, limitations remain in the standardisation of performance indicators and the systematic use of data for monitoring and evaluation. This study contributes to the operations management literature by extending the application of TQM to community-based and non-profit operational contexts. Practically, the findings provide insights for CSR managers and practitioners on how quality management principles can enhance the sustainability and effectiveness of environmental CSR programs.

This study aims to analyze the relationship between school principals' leadership and the management of curriculum and educational programs in schools. Principals play a strategic role in guiding, coordinating, and developing the curriculum to align with the school's vision, mission, and the needs of students. Through a qualitative descriptive approach based on literature review, this study highlights the importance of principals' managerial competence in planning, implementing, and evaluating the curriculum. The findings indicate that the effectiveness of educational programs, whether intracurricular, co-curricular, or extracurricular, is highly influenced by the principal's ability to manage human resources, facilities, and the school's organizational climate. Thus, good curriculum management under the leadership of the school principal significantly contributes to the overall improvement of education quality. 1) to analyze the role of the principal in curriculum management at the school, 2) to analyze the role of the principal in the implementation of educational programs, 3) to analyze the relationship between the principal's role in curriculum management and the implementation of educational programs at the school, 4) to analyze the factors that affect the effectiveness of the principal in managing the curriculum and educational programs, 5) to analyze how the principal's leadership contributes to the improvement of the quality of educational programs, 6) to analyze the obstacles faced by the principal in managing the curriculum and educational programs.

This research aims to analyze the implementation of the "Jalak Wadul Mas" (Jawa Timur Layanan Pengaduan Warga dan Dukungan Masyarakat/East Java Citizen Complaint Service and Community Support) innovation program in improving the welfare of people with social welfare problems (PMKS) in East Java Province. The Social Service of East Java Province developed this program as an integrated digital platform for complaint handling, social assistance distribution, and empowerment of vulnerable groups. Using the policy implementation theory from Edward III, this study examines four critical factors: communication, resources, disposition, and bureaucratic structure. This qualitative research employs a descriptive approach, with data collected through in-depth interviews, observation, and documentation at the Social Service of East Java Province during June-August 2025. Informants include program managers, field social workers, PMKS beneficiaries, and community stakeholders. The results indicate that the Jalak Wadul Mas program has successfully served 45,678 PMKS across 38 districts/cities in East Java, with a 78% complaint resolution rate and average response time of 3 working days. The program integrates multiple services, including emergency assistance, rehabilitation referrals, skills training, and economic empowerment. Key success factors include strong leadership commitment, adequate technology infrastructure, and collaborative networks with community organizations. Challenges remain in human resource capacity, internet connectivity in remote areas, and cross-sectoral coordination. This study recommends strengthening digital literacy training for beneficiaries, expanding mobile service units, developing real-time monitoring dashboards, and establishing sustainable funding mechanisms.

This research aims to evaluate the SQUAD Dewan (Suara Kita Untuk Demokrasi/Our Voice for Democracy) program implemented by the Secretariat of East Java Provincial Legislative Council (DPRD). The SQUAD Dewan program is an innovative initiative designed to enhance public participation in the legislative process and strengthen democratic practices at the provincial level. Using the CIPP (Context, Input, Process, Product) evaluation model developed by Stufflebeam, this study examines the program's effectiveness, efficiency, and sustainability. This qualitative research employs a descriptive approach, with data collected through in-depth interviews, focus group discussions, observation, and documentation at the Secretariat of the DPRD of East Java Province. Informants include program managers, legislative council members, public participants, and community representatives. The results indicate that the SQUAD Dewan program has successfully increased public engagement in legislative activities, with a 45% increase in public hearing participation and 60% growth in policy input submissions from 2022 to 2023. The program has effectively utilized digital platforms for broader outreach, reaching over 150,000 citizens through online forums and social media campaigns. However, challenges remain in terms of geographic coverage inequality, limited participation from rural communities, and the need for more sustainable funding mechanisms. This study recommends strengthening digital infrastructure in rural areas, developing capacity-building programs for community facilitators, establishing permanent funding allocations, and creating feedback mechanisms to enhance program responsiveness to public needs.

This research aims to analyze the innovation in population services, called Duta Hatiku (Dukcapil Tanggap Bencana Harapan Timbul Kembali Utuh/Civil Registration Disaster Response: Hope Rises Again Completely), implemented by the Department of Population and Civil Registration (Disdukcapil) of Sidoarjo Regency. This innovation was developed as a quick response service for disaster victims who lost their identity documents. Drawing on the public service innovation theory of Mulgan and Albury, this study examines the novelty, implementation, and impact of the Duta Hatiku program. This qualitative research employs a descriptive approach, with data collected through in-depth interviews, observation, and documentation at Disdukcapil Sidoarjo during May-July 2025. Informants include program managers, field officers, disaster victims as service beneficiaries, and related stakeholders. The results indicate that the Duta Hatiku innovation has successfully provided rapid population document recovery services to disaster victims, with an average service completion time of only 2-3 days, compared to the standard 14 days. The program utilizes mobile service units equipped with portable equipment for on-site document processing at disaster locations. Since its implementation, the program has served 2,847 disaster victims from various incidents, including floods, fires, and landslides. The innovation demonstrates strong characteristics of novelty in service delivery approach, significant improvement in service accessibility, and positive impact on community resilience. This study recommends strengthening coordination with disaster management agencies, expanding mobile unit capacity, developing integrated database systems, and replicating the model to other regions.

This research aims to analyze the implementation of the Protection and Rehabilitation Service Program for Juvenile Delinquents in Surabaya City, conducted by the Social Service of East Java Province. Juvenile delinquency remains a significant social problem requiring comprehensive intervention through protection and rehabilitation approaches rather than punitive measures. Drawing on George C. Edward III's policy implementation theory, this study examines four critical factors: communication, resources, disposition, and bureaucratic structure. This qualitative research employs a descriptive approach, with data collected through in-depth interviews, observation, and documentation at the Social Service of East Java Province during June-August 2025. Informants include program managers, social workers, psychologists, beneficiaries of the juvenile delinquency program, and their families. The results indicate that the program has successfully served 1,247 juvenile delinquents through integrated services, including psychological counseling, skills training, family therapy, and social reintegration support. The communication dimension shows effective coordination between provincial and city-level agencies, though information dissemination to communities needs improvement. Resource adequacy is generally sufficient with 35 certified social workers, adequate facilities, and an annual budget of Rp 3.2 billion. The disposition of implementers demonstrates a strong commitment to child-centered approaches. Clear SOPs and inter-agency collaboration protocols support the bureaucratic structure. The program achieves 72% successful rehabilitation rate with 68% of beneficiaries returning to formal education or productive activities. Challenges remain in stigma reduction, family involvement, and post-rehabilitation monitoring. This study recommends strengthening community-based prevention, expanding vocational training options, developing peer support networks, and establishing sustainable aftercare mechanisms.

Adolescents and young people living with HIV (AYPLHIV) experience a high burden of depression, anxiety, behavioral difficulties, and psychosocial distress. These challenges undermine antiretroviral therapy (ART) adherence and long-term HIV outcomes. In Zambia, mental health services remain fragmented, centralized, and weakly integrated with HIV care. Expert consensus is needed to prioritize feasible system, service, and digital strategies to strengthen mental health access for AYPLHIV. We conducted a two-round Delphi study with ten Zambian mental health experts (psychiatry, psychology, nursing, HIV program management, and digital health). Round One (September 1-10 2025) collected open-ended responses on barriers, facilitators, and mobile health (mHealth) strategies. Responses were thematically analyzed in Ligre 6.5.1 and synthesized into 29 candidate statements. In Round Two (September 15-20, 2025), experts rated each statement on a five-point Likert scale (1-5). Consensus was defined a priori as ≥70% rating a statement 4-5 and an interquartile range (IQR) ≤1. Consensus was reached for 27 of 29 statements (93%). Experts identified HIV- and mental-health-related stigma, poverty and transport costs, limited decentralization, low mental health literacy, harmful gender norms, and shortages of trained providers as key barriers to AYPLHIV accessing care. Priority facilitators included decentralizing services to primary and community levels, integrating mental health into ART clinics, strengthening youth-friendly and confidential counseling, expanding peer-support models, and improving multisector collaboration. mHealth solutions were strongly endorsed as confidential, scalable tools if they ensured robust data protection, offline or low-data functionality, multilingual and audio-visual content, and clear referral pathways to facility-based services. This Delphi process generated clear expert consensus on pragmatic priorities for expanding youth mental health care within Zambia's HIV program. The findings provide a framework for policymakers and implementers to integrate mental health and mHealth into HIV prevention, treatment, and care for AYPLHIV and to guide implementation and scale-up of youth-focused mental health interventions.

Texas Stroke Program Assessment: Infrastructure, Turnover, and Burnout Implications.

The black soil region of Northeast China (NEC) is China’s most important food production base. Long-term inefficient land use has made its ecosystem vulnerable to widespread degradation, prompting the implementation of ecological restoration projects (ERPs) to enhance ecosystem service (ES) resilience. Yet, the complex interactions among key ESs, including grain production (GP), water yield (WY), soil conservation (SC), and carbon storage (CS), as well as the spatial non-stationarity of their driving factors post-ERPs, have caused spatially heterogeneous, scale-dependent ES relationships. To address these gaps, this study aims to analyze temporal changes in ESs across multiple scales in NEC from 2000 to 2020. By mapping the interactions and quantifying their intensities, we revealed spatial variations in driving factors under different ERPs. The results show that the Natural Wetland Conservation Project (NWCP) and Three-North Shelterbelt Program (TNSP) have led to overall improvements in all ESs. In contrast, the Grain for Green Program (GFGP), the Land Salinity/Sodicity Amelioration Project (LASP), and the Natural Forests Conservation Program (NFCP) are associated with trade-offs between ESs. Interactions between ESs exhibited clear spatial scale dependence, and the dominant drivers varied across scales and restoration contexts. These findings highlight the importance of considering spatial scale and non-stationarity when evaluating ecological restoration outcomes. This study provides a scientific basis for the development and management of ecological restoration programs in intensively managed agricultural regions worldwide, particularly those undergoing multiple, overlapping restoration interventions, from a multi-scale spatial perspective.

This research contributes to those seeking to better understand the relationship between companies and schools in relation to socio-environmental issues. The aim was to identify and analyze the views of school-based education professionals and other professionals from public administration and program management involved in the Pró-Mananciais program, funded by the mixed-capital Minas Gerais Sanitation Company (Copasa), regarding educational initiatives addressing socio-environmental issues related to water and sewage. In addition to interviews with these participants, we also observed community meetings involving residents, educators, public agencies, and university representatives. We adopted content analysis, specifically thematic analysis, as the methodological procedure for data systematization and interpretation. We identified the reproduction of corporate narratives within the school, aimed at legitimizing the company’s involvement in the community, promoting pro-environmental narratives grounded in individualism and behavioral change, and reinforcing the company’s authority through its technical expertise. At the same time, these initiatives may be associated with the obstruction of educational practices aimed at fostering critical questioning of socio-environmental injustices in order to promote collective participation in decision-making processes in defense of fundamental rights. Therefore, it is essential that educational legislation and the curricula of both basic education schools and teacher education programs address and regulate corporate involvement.

Uganda adopted the District Health Information Software 2 (DHIS2) in 2012 to monitor public health programs. More than a decade later, the factors that facilitate or hinder the adoption and use of DHIS2 have not been well documented. This study uses a mixed methods design to understand these factors. Ugandan districts were categorized into high, medium and low performance based on weekly reporting, timeliness and completeness into DHIS2. Two districts were selected across each category of high (Yumbe and Maracha), moderate (Kakumiro and Budaka) and low performers (Jinja and Buikwe). In-depth interviews were conducted at national, district, and health facilities with program (immunization, HIV/AIDS, TB, and malaria) managers, district biostatisticians, district health officers, planners, and health facility managers. Data were analyzed thematically. Across the selected districts, the average adoption score (average of all three indicator scores listed above) ranged from 97% for high adopters to 60.3% for low adopters. Enablers of DHIS2 adoption included strong digital infrastructure, adequate and competent human resources, support from implementing partners, and financial incentives. Barriers to DHIS2 adoption were infrastructural challenges and system errors, including a lack of access rights to key cadres and server breakdown. Human resource limitations were also important barriers. Despite DHIS2's role in assessing program performance and real time monitoring of campaigns, data use for decision making remains limited. Findings indicate that the limited investment in its operationalization impedes effective use. This implies improving in-country ownership to routinely upgrade equipment, provide reliable network, and recruit trained personnel.

BackgroundThe Knowledge Translation Innovation Incubator (KTII) initiative, launched by the Knowledge Translation program of the CHILD-BRIGHT Strategy for Patient-Oriented Research Network, provided funding support for researchers and partners to experiment with various approaches and strategies to support the development of innovative knowledge translation (KT) research in the context of neurodevelopmental disabilities.ObjectiveWe aimed to describe the process and contexts of innovation development in integrated knowledge translation (iKT) practices in patient-oriented research.MethodsWe applied an iKT practice to conduct the collective case study of 7 KTII-funded projects. We interviewed 10 researchers, 4 research trainees, 2 clinicians, 2 parentpartners, 2 patient-partners (1 adult and 1 youth), 1 community partner, 1 KT specialist, 1 designer, and 1 research program manager at the middle and the end of the project period. We conducted qualitative content analysis using the Consolidated Framework for Implementation Research to identify and assess patterns of determinants of (1) drivers of innovation, (2) facilitators and barriers to innovation development, and (3) enablers for sustainability of KT products.ResultsInnovative KT was majorly driven by the identified know-do gap to meet the needs of people with lived experience. Outer setting constructs, such as funding and partnerships and connections, were not only drivers but also facilitators to innovation development. iKT practices presented in this case study were fostered by researchers’ approach to participatory design, involving iterations of listening to emerging ideas and feedback of patient-partners and other partners, and researchers’ continuous reflections on their roles in knowledge creation. Despite the challenges in building consensus and the limited time of the fluid process, researchers’ strong passion for engagement and value placed on lived experience led to flexible engagement and open communication to create KT products. Intangible outcomes included further relationships at individual and organizational levels, capacity building of young people, and a collective voice to influence communities. Sustainment of the KT products requires not only accessibility and adaptability of the product itself but also mechanisms at inner settings, such as training, continued interest of patient-partners and the community, and institutional partnerships to support the further uptake of the product.ConclusionsThis study illustrates the critical roles of researchers in addressing power dynamics and making the research partners’ tacit knowledge visible for successful innovative KT. The research landscape should also change in terms of funding and timeline in order to foster researchers’ mental models in designing thinking and actions on collaborative research engagement.

The collaboration between UIN Raden Intan Lampung (UIN RIL) and Micro, Small, and Medium Enterprises (MSMEs) aims to foster the development of sustainable business models through various initiatives, such as halal certification assistance, entrepreneurship training, and the rental of campus facilities. This article explores how this collaboration significantly supports the enhancement of MSME competitiveness, innovation, and sustainability. Through the cafeteria rental initiative, UIN RIL provides MSMEs with stable market access, while entrepreneurship training enhances the managerial capacity and adaptability of MSME owners. Additionally, halal certification expands MSMEs' market access both locally and internationally, improving product quality and consumer trust. However, challenges in operational management and low participation in training programs may hinder the long-term success of this collaboration. The article concludes that, for long-term sustainability, both UIN RIL and MSMEs must continue to innovate and strengthen their collaboration by providing better resources and improving MSME engagement in available programs. Recommendations for UIN RIL, MSMEs, and researchers include enhancing strategic planning, actively participating in training programs, and conducting further studies on the long-term impacts of this collaboration on local economies and MSME sustainability.