https://www.research.adra.ac.id/index.php/midwifery/issue/feed 2026-05-02T16:12:47+07:00 Journal of Midwifery History and Philosophy journal@adra.ac.id Open Journal Systems <p style="text-align: justify;">The <strong>Journal of Midwifery History and Philosophy</strong> is a scholarly, peer-reviewed publication that focuses on the historical and philosophical aspects of midwifery practice. The journal aims to provide a platform for midwives, researchers, educators, and policymakers to share their knowledge and experiences, and to advance the field of midwifery.<br />The scope of the journal includes but is not limited to, topics such as clinical practice guidelines, evidence-based practice, midwifery education and training, midwifery-led care models, midwifery research, maternal and infant health outcomes, global perspectives on midwifery, and policy developments affecting midwifery practice. Additionally, the journal welcomes submissions that examine the philosophical underpinnings of midwifery, including discussions on autonomy, informed consent, and the value of holistic care.<br />The journal welcomes original research articles, review articles, case studies, clinical practice guidelines, and scholarly opinion pieces that contribute to the advancement of midwifery as a profession and a discipline. The overarching goal of the <strong>Journal of Midwifery History and Philosophy</strong> is to promote excellence in midwifery practice, education, and research, and to improve outcomes for women and infants around the world.</p> https://www.research.adra.ac.id/index.php/midwifery/article/view/3748 2026-05-02T14:58:08+07:00 Tiya Setiadi tiyasetiadispjp@gmail.com Indriani MR Hutagalung alexindria01@gmail.com Ahmad Faisol achmadfaisol2303@gmail.com

<p><strong>Background.</strong> Public sector reforms in Indonesia are driving government hospitals toward the Public Service Agency (BLU) model to enhance flexibility and service quality. As a key provider for military personnel and the national system, the Indonesian Navy Hospital (RSAL) is part of this significant management shift.</p> <p><strong>Purpose.</strong> This study aims to analyze the transformation process of RSAL into a BLU institution and explore its implications for the validation of the Navy’s health organization.</p> <p><strong>Method.</strong> The research utilizes a Systematic Literature Review (SLR) following the PRISMA approach, analyzing academic publications, government regulations, and hospital management data.</p> <p><strong>Results.</strong> The BLU model improves financial management and operational efficiency. However, challenges remain in governance and human resources, as the rigid military structure often complicates the adoption of the flexible systems required by the BLU model.</p> <p><strong>Conclusion.</strong> Successful transformation requires a comprehensive strategy focused on human resource development, policy alignment, and improved organizational governance to bridge the gap between military and BLU systems.</p>

2026-04-28T00:00:00+07:00 Copyright (c) 2026 Tiya Setiadi, Indriani MR Hutagalung, Ahmad Faisol