<![CDATA[Regional development in the modern era faces major challenges in maintaining a balance between economic growth, social welfare, and environmental sustainability. Uncontrolled development activities often lead to ecological degradation, necessitating an environmentally-conscious development management model. This study aims to examine regional development management strategies based on Village Community Health Development (PKMD) by emphasising the role of institutions, community participation, and cross-sector collaboration in supporting environmental sustainability. The research uses a descriptive qualitative approach with a case study design. Data were collected through in-depth interviews, focus group discussions (FGDs), participatory observation, and documentation studies, then analysed using the interactive model of Miles, Huberman, & Saldaña. The results of the study show that the success of PKMD is determined by three main aspects: first, the application of an integrated operational approach through cross-sectoral, multidisciplinary, and educational synergies; second, the transformation of the role of community health centres from health service providers to catalysts for social innovation; and third, active community participation that gives rise to self-help initiatives, such as the management of the Village Waste Bank. However, challenges remain in the form of weak cross-sector coordination, low environmental literacy, and limited funding sources. The implications of this study reinforce the theory of systems thinking and the Health in All Policies (HiAP) paradigm, as well as emphasising the importance of participatory-collaborative development governance. In practical terms, the results of this study encourage the strengthening of cross-sector coordination forums, capacity building of community health centres (Puskesmas) on environmental issues, and diversification of financing through CSR and green financing. Thus, an environmentally-friendly regional development management model can be a strategic instrument to promote sustainable village development in Indonesia Keywords: Regional Development Management, PKMD, Community Participation, Puskesmas, Environmental Sustainability]]>
