Introduction: COVID-9 is a global pandemic and causes changes in behavior and life. The implementation of health protocols is the most important aspect to prevent the transmission of COVID19, especially in the Islamic boarding schools (Pondok Pesantren) community. The aim of this study is to identify the practice of a clean and healthy lifestyle as well as the application of health protocols in the Pondok Pesantren to control the spread of COVID-19. Methods: The preliminary survey was conducted as a part of training for the healthy student cadre and the establishment of COVID-19 shelters in Pondok Pesantren in The Special Region of Yogyakarta, Indonesia. Fourteen questions including the name of Pondok Pesantren and multiple-choice questions related to clean and healthy living behaviors comparison before and during the pandemic, health protocol implementation during the pandemic, and provision of COVID-19 prevention and control program. Results: Total sample consisted of 84 students from 18 Pondok Pesantren in The Special Region of Yogyakarta. Among the factors affecting the student’s compliance with health protocol implementation in Pondok Pesantren were the disparity of individual’s understanding and obedience to rules and regulations regarding health protocol implementation (71,8%), inadequate facilities (12,8%), and other factors including that there was no strict supervision and punishment for violation upon regulations. Conclusion: Pondok pesantren is an institution that needs more attention amid the pandemic of COVID-19. Dense population, minimum infrastructure, and relatively poor access to healthcare facilities have made them a vulnerable community.

Background: One hospital that has adapted services to the COVID-19 pandemic is the UGM Academic Hospital (RSA UGM). RSA UGM offers long-distance or telemedicine services, later named the Joempa Dokter Telemedicine RSA UGM. Joempa Dokter stands for Journey for Online Electronic Medical Professional Assistance. Telemedicine Joempa Dokter RSA UGM has been running for 1.5 years. Still, it was found that it had not been appropriately utilized by health workers who worked at the Outpatient Installation at RSA UGM. The process flow for telemedicine services was also not adequately systemized, as evidenced by using semi-conventional technology in practice. Objective: To evaluate ‘Joempa Dokter’ telemedicine service at RSA UGM during the COVID-19 pandemic. Methods: The type of research used in this study is a mixed method with an embedded or nested research design using a survey approach and in-depth interviews. This research was conducted in the outpatient ward of RSA UGM from July to August 2022. Results: The flow of telemedicine services for Joempa Dokter RSA UGM starts with patient registration via the Google form, consulting with doctors via the Zoom platform, then prescribing drugs online. Telemedicine services have not been integrated with the SISTEMA RSA UGM, but this service is helpful and easy to use. There are still some deficiencies in this telemedicine service, such as unattractive features; the platform used is still different from registration to postservice; there is no Standard Operating Procedure (SOP) for Joempa Dokter Telemedicine Services; incentives are not appropriate; and telemedicine services are not a priority service at RSA UGM yet. Conclusion: Joempa Dokter Telemedicine at RSA UGM is beneficial as an alternative solution to improve the quality of health services in hospitals during the COVID-19 pandemic. For better service continuity, UGM RSA management needs to prepare Standard Operating Procedures (SPO) and service roadmaps, adjust incentives to improve the performance and motivation of the health workers involved, and service integration with existing information systems at RSA UGM also needs to be done.