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All Journal International Journal of Education, Social Studies, And Management (IJESSM)
Mohamad Afan Suyanto
Universias Gorontalo, Indonesia
Education Other

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Factors Influencing the Participation of Couples of Reproductive Age in the Family Planning Program in East Sumalata District, North Gorontalo Regency Miftakhul Huda; Yakup Yakup; Mohamad Afan Suyanto; Olfin Ishak; Elfis Mus Abdul
International Journal Of Education, Social Studies, And Management (IJESSM) Vol. 6 No. 1 (2026): The International Journal of Education, Social Studies, and Management (IJESSM)
Publisher : LPPPIPublishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52121/ijessm.v6i1.987

Abstract

This study examines the factors influencing the participation of couples of reproductive age in the Family Planning Program in East Sumalata District, North Gorontalo Regency. The data used in this study consist of primary data collected through questionnaire surveys. The research population comprised 125 respondents, and a census method was employed. The analytical technique used to address the research problems and test the hypotheses was multiple regression analysis, conducted with the assistance of the Statistical Product and Service Solutions (SPSS) software for data processing. The findings of the study indicate that: (1) service delivery plays a positive and significant role in influencing the participation of couples of reproductive age; (2) promotion has a positive and significant effect on the participation of couples of reproductive age; (3) socialization activities have a positive and significant effect on the participation of couples of reproductive age; and (4) cultural factors have a positive and significant effect on the participation of couples of reproductive age. Furthermore, simultaneously, service delivery, promotion, socialization, and cultural factors have a positive and significant influence on the participation of couples of reproductive age in the Family Planning Program.
Outpatient Loyalty and Its Determinants: The Roles of Service Quality, Hospital Image, Trust, and Digital Promotion at M.M. Dunda Limboto Hospital Rahmi Novi Yasin; Mohamad Afan Suyanto; Deby Rita Karundeng; Anggita Permata Yakup; Firman Dera
International Journal Of Education, Social Studies, And Management (IJESSM) Vol. 6 No. 1 (2026): The International Journal of Education, Social Studies, and Management (IJESSM)
Publisher : LPPPIPublishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52121/ijessm.v6i1.988

Abstract

In recent years, patient loyalty has gained increasing attention as hospitals face growing competition and rising patient expectations, particularly in outpatient services where first impressions are formed. This study explores how service quality, hospital image, trust, and digital promotion influence outpatient loyalty at M.M. Dunda Limboto Hospital. The research focuses on outpatient care, considering its strategic role in shaping patients’ decisions to return and recommend hospital services. A quantitative research design was adopted, using survey data collected from outpatients through structured questionnaires. The data were analyzed using multiple linear regression to assess both individual and combined effects of the explanatory variables on patient loyalty. The results reveal that service quality, hospital image, trust, and digital promotion each have a positive and statistically significant effect on outpatient loyalty. When examined simultaneously, these factors jointly exert a strong influence, indicating that patient loyalty is not driven by a single aspect of service, but rather by the overall experience created through consistent service delivery, credible institutional reputation, and effective communication. Notably, digital promotion emerges as the most influential variable, reflecting the growing role of digital platforms in shaping patient perceptions and engagement. These findings suggest that hospital management should view loyalty as a long-term outcome of integrated service quality improvement, trust-building practices, and meaningful digital interaction with patients.
Co-Authors Anggita Permata Yakup Deby Rita Karundeng Elfis Mus Abdul Firman Dera Miftakhul Huda Olfin Ishak Rahmi Novi Yasin Yakup Yakup