Universal Health Coverage is a health insurance system that ensures every citizen in the population has equitable access to quality and effective promotive, preventive, curative, and rehabilitative health services. Meanwhile, the Medan City Government of Indonesia is trying to improve health services through the Medan Berkah Health Insurance Program by adopting Universal Health Coverage, which aims to provide Universal Health Coverage to the entire community. This study aims to explain the implementation and projection of the development of health services of the Medan City Government with the Universal Health Coverage System in the Medan Berkah Health Insurance Program which is intended as a step in providing opportunities for all people to get equal opportunities in health services, especially for the poor. This research uses qualitative research by using the literacy study method by studying related documents and conducting in-depth observations. Data analysis included data reduction, presentation, and conclusion drawing. The Medan City Government implemented the Universal Health Coverage Program in Jaminan Kesehatan Medan Berkah, which aims to improve health services in the city. The government is committed to simplifying the bureaucracy, managing the medical workforce, and collaborating with stakeholders and the community. However, challenges include low community participation, limited resources, lack of coordination, and limited access to information, which hinder the successful implementation of the program.

This study explores the impact of technology effectiveness, social development, and opportunities on higher education accessibility in Myanmar, focusing on private higher education institutions. Utilizing a sample of 199 respondents, with an average age of X (SD = Y), the research employs standardized questionnaires and descriptive statistics, correlation analysis, and multiple regression analysis to examine the relationships between these variables. The findings indicate that technology effectiveness significantly enhances higher education accessibility, with strong positive correlations (r = 0.752, p < 0.001) and substantial impacts on educational outcomes (β = 0.334, p = 0.001). Social development also plays a crucial role, demonstrating that supportive social norms and community engagement significantly improve accessibility (β = 0.405, p < 0.001). Opportunities provided by technological advancements further contribute to enhanced accessibility (β = 0.356, p < 0.001), although socio-political and economic challenges pose significant barriers. The study highlights the interconnectedness of these factors and their collective influence on educational accessibility. Practical implications include the need for strategic investments in technological infrastructure, promotion of supportive social environments, and innovative solutions to leverage opportunities. Future research directions suggest longitudinal studies, broader demographic scopes, and in-depth analyses of specific technological and infrastructural challenges. By addressing these areas, stakeholders can develop effective strategies to improve higher education accessibility, ultimately contributing to the socio-economic development of Myanmar.

The construction and development of teachers has always been the focus of the construction and development of colleges and universities, and each school has also set up a lot of relevant departments or institutions such as the University Party Committee Teacher Work Department, Academic Affairs Office, Personnel Division, Teacher Development Center and so on. However, a lot of adaptation problems still exposed gradually after the entry of new full-time teachers. This paper takes Longyan University as an example to make some basic analysis and put forward relevant suggestions.

The purpose of this paper is to discuss the innovative research on the instructional design and development of courses based on digital platforms. Firstly, the importance of digital platforms in the field of education and the current status of their application are introduced. Secondly, the concepts and key elements of course instructional design and development are analysed, and the role of digital platforms in course instructional design and development is discussed. Then, the innovative practices and methods of course instructional design and development based on digital platforms are described, including the integration and personalised customisation of learning resources, the construction and interactive communication of learning communities, and the improvement of evaluation and feedback.

High-risk pregnancies are a global concern, with maternal and fetal well-being at the forefront of clinical care. Pregnancy’s three trimesters bring distinct changes to mothers and fetal development, impacting maternal health through hormonal, physical, and emotional shifts. Fetal well-being is influenced by organ development, nutrition, oxygenation, and environmental exposures. Effective management of high-risk pregnancies necessitates a specialized, multidisciplinary approach. To comprehend this integrated approach, a comparative literature analysis using Atlas.ti software is essential. Findings reveal key aspects vital to high-risk pregnancy care, including intervention effectiveness, case characteristics, regional variations, economic implications, psychosocial impacts, holistic care, longitudinal studies, cultural factors, technological influences, and educational strategies. These findings inform current clinical practices and drive further research. Integration of knowledge across multidisciplinary care teams is pivotal for enhancing care for high-risk pregnancies, promoting maternal and fetal well-being worldwide.

The reference urban plan is an urban planning tool often used to orient the development of Chadian cities. However, expanding Chadian urban centers, such as Sarh, face challenges in implementing urban planning orientations of their urban plans within the set deadlines. The objective of this study is to identify the factors impeding the effective implementation of the reference urban plan for Sarh town. The methodology employed encompasses a literature review, individual interviews with urban planning experts, geographic information system (GIS) data, household surveys and statistical analysis. The results revealed that less than a quarter (19.72%) of the households surveyed were aware of the reference urban plan. The applied logistic regression model identified age, occupation and level of education as the main factors influencing public participation in the preparation of the reference urban plan. On average, 33.33% of the urban planning guidelines and 21.74% of the projected urban projects were implemented, with a difference of 1631.28 hectares (ha) between the projected plan and the actual plan for the town. Five factors were identified as contributing to the failure to implement the reference urban plan for Sarh town, including low funding, inadequate land management, a lack of political will, weak governance and poor communication. Consequently, participatory and inclusive planning approaches, effective financial mobilisation, strong governance, and the use of modern technologies such as GIS tools are recommended to enhance the implementation of urban planning tools.