Background: Adolescents in Aceh face challenges related to risky behaviors such as drug abuse, smoking, premarital sexual activity, teenage pregnancy, and exposure to HIV/AIDS, which impact their health, social well-being, and the quality of human resources. Low levels of knowledge and resilience among adolescents, as well as the limitations of existing programs, pose serious challenges. On the other hand, Aceh possesses social and religious strengths through the role of Teungku Inong and the Seumeubeut tradition as educational spaces close to adolescents, yet these have not been optimally utilized as an approach to adolescent health education. This study aims to develop a community-based reproductive health and life skills  education model through the role of Teungku Inong and Seumeubeut practices in preventing risky health behaviors among adolescents in Aceh Province. Methods: This study employs a mixed-methods exploratory sequential design in three phases: phenomenological qualitative analysis, development of a community-based educational model, and quasi-experimental quantitative analysis. The study was conducted in Bireuen Regency, Aceh Province, from October 2024 to November 2025, with a sample of 62 Teungku Inong in the intervention group and 61 in the control group, as well as 186 adolescents. Data analysis utilized Generalized Estimating Equations (GEE) and Difference-in-Differences (DiD). Results: Teungku Inong possess strong moral and social legitimacy as social mediators within the community; however, they require capacity building regarding reproductive health and life skills . The Integrated Seumeubeut Model developed integrates reproductive health education, psychosocial life skills , as well as Islamic values and Acehnese culture into a community study group format. GEE analysis revealed that the interaction term in Post-test 1 increased role scores by β = 3.465 (95% CI: 1.711–5.218; p < 0.001) and by β = 2.578 (95% CI: 0.458–4.697; p = 0.01) in Post-test 2. Results of the DiD analysis showed an increase in role scores in the intervention group compared to the control group with a coefficient of 15.19 (p < 0.001). The model intervention contributed to a 44% increase in role scores at the first post-test (1 month) and a 49% increase at the second post-test (2 months post-intervention). Conclusions and recommendations: The Integrated Seumeubeut Model was proven to significantly enhance the role of Teungku Inong as agents of change while strengthening protective factors for adolescents against risky behaviors. The Integrated Seumeubeut Model can be recommended as a community-based, contextually relevant, practical, and potentially sustainable promotive-preventive approach within the adolescent protection system in Aceh.

Kerentanan rumah sakit di Indonesia dalam menghadapi bencana terlihat dari rata-rata indeks Hospital Emergency Disaster Management yang rendah (0,408) dan kegagalan infrastruktur fisik (hard resilience) saat beban puncak (surge capacity), seperti pada pandemi COVID-19 dan gempa bumi. Modal sosial (social capital) berpotensi menjadi "infrastruktur organisasi non-fisik" (soft resilience) yang mampu mensubstitusi keterbatasan fiskal dan birokrasi, namun pengoptimalannya belum terformulasikan secara terstruktur dalam manajemen bencana rumah sakit. Penelitian ini bertujuan untuk menganalisis, menyintesis, dan merekonstruksi Model Social capital melalui integrasi perspektif strategis (makro) dan operasional (mikro) guna meningkatkan kesiapsiagaan dan ketahanan rumah sakit di wilayah berisiko bencana tinggi (Provinsi Jawa Barat). Penelitian ini menggunakan desain Exploratory Sequential Mixed Methods. Tahap kualitatif melibatkan 18 informan kunci (praktisi senior dan pakar manajemen bencana) untuk mengidentifikasi 78 indikator modal sosial. Tahap kuantitatif melibatkan 110 responden dari 5 tipologi rumah sakit di Jawa Barat (RS Vertikal, RSUD, dan RS Swasta) yang dianalisis menggunakan Structural Equation Modeling (SEM-PLS). Kualitatif Tahap 2 pada 5 RS mewawancara 34 informan. Tahap akhir adalah rekonstruksi model melalui validasi konsensus ahli. Analisis SEM-PLS menunjukkan bahwa Modal Sosial berpengaruh positif dan signifikan terhadap Kesiapsiagaan (0,872) dan Ketahanan (0,672), dengan nilai R-Square Ketahanan sebesar 85,2% (kategori sangat kuat). Penelitian ini memetakan tiga lapis kapital: 1) Bonding Capital (Internal RS) berbasis organizational trust dan nilai spiritual ("Employee of Allah"); 2) Bridging Capital (Horizontal) melalui jejaring lintas faskes/organisasi profesi berbasis resiprositas; dan 3) Linking Capital (Vertikal) melalui agile governance dengan otoritas (Kemenkes/BPBD). Temuan menunjukkan adaptasi kontekstual yang khas: RS Vertikal mengandalkan bridging untuk rujukan makro; RSUD memanfaatkan kearifan lokal "Saduluran" untuk substitusi fiskal daerah; dan RS Swasta Filantropi menggunakan kekuatan identitas sosial untuk pertahanan bottom-up yang lincah. Model Social capital merupakan strategi optimasi non-fiskal yang mentransformasikan jejaring manusia menjadi kapasitas resiliensi nyata. Model ini merekomendasikan integrasi elemen penilaian modal sosial dalam Standar Akreditasi Rumah Sakit (Bab MFK) dan penguatan kurikulum sosiologi kebencanaan pada pendidikan manajemen kesehatan untuk memutus siklus repitisi kesalahan manajemen krisis.

The vulnerability of hospitals in Indonesia in dealing with disasters can be seen from the low average Hospital Emergency Disaster Management index (0.408) and the failure of physical infrastructure (hard resilience) during peak loads (surge capacity), such as in the COVID-19 pandemic and earthquakes. Social capital has the potential to become a "non-physical organizational infrastructure" (soft resilience) that is able to substitute fiscal and bureaucratic limitations, but its optimization has not been formulated in a structured manner in hospital disaster management. This research aims to analyze, synthesize, and reconstruct the Social capital Model through the integration of strategic (macro) and operational (micro) perspectives to improve hospital preparedness and resilience in high-risk disaster areas (West Java Province). This study uses the design of Exploratory Sequential Mixed Methods. The qualitative stage involved 18 key informants (senior practitioners and disaster management experts) to identify 78 social capital indicators. The quantitative stage involved 110 respondents from 5 hospital typologies in West Java (Vertical Hospitals, Hospitals, and Private Hospitals) which were analyzed using Structural Equation Modeling (SEM-PLS). Qualitative Phase 2 at 5 hospitals interviewed 34 informants. The final stage is the reconstruction of the model through expert consensus validation. The SEM-PLS analysis shows that Social capital has a positive and significant effect on Preparedness (0.872) and Resilience (0.672), with an R-Square value of Resilience of 85.2% (very strong category). This study maps three layers of capital: 1) Bonding Capital (Internal RS) based on organizational trust and spiritual values ("Employee of Allah"); 2) Bridging Capital (Horizontal) through a network of reciprocity-based health facilities/professional organizations; and 3) Linking Capital (Vertical) through agile governance with authorities (Ministry of Health/BPBD). The findings show typical contextual adaptations: Vertical RS relies on bridging for macro references; The hospital utilizes the local wisdom of "Duluran" for regional fiscal substitution; and Philanthropy Private Hospitals use the power of social identity for nimble bottom-up defenses. The social capital model is a non-fiscal optimization strategy that transforms human networks into real resilience capacity. This model recommends the integration of social capital assessment elements in Hospital Accreditation Standards (MFK Chapter) and strengthening the disaster sociology curriculum in health management education to break the cycle of repetition of crisis management errors.