Background and purpose: Quality of health services in the public health center in Karangasem remain a public health concern. Preliminary findings indicated there was a problem regarding implementation of health center management and working commitment of staff. This study aimed to determine the association between quality of medical services, the implementation of health centre management and working commitment of staff.Methods: Study was cross-sectional among 61 doctors and nurses at 12 public health centres who were selected purposively. Data were collected from February to March 2015 using questionnaires. Data analysis using logistic regression to examine the relationship between the quality of medical services with the implementation of health center management and working commitment of staff.Results: Findings indicated that the quality of medical services, the implementation of health centre management and working commitment of staff were relatively low. The quality of medical services provided was found associated with working commitment of staff (AOR=11.3; 95%C: 1.75-73.06) and not associated with implementation of health center management (AOR=0.9; 95%CI: 0.18-5.24).Conclusion: The quality of medical services provided was found associated with working commitment of staff and not associated with implementation of health center management.

The Dayah modern Yapena is one of the favorite Islamic boarding schools in Lhokseumawe city. Even though there is an assumption that the education system still lacks emphasis on strengthening morals, and the model of worship practice that is applied is more nuanced to the Muhammadiyah tradition on the other hand, the public interest in including their children has increased. The students in this dayah are not only from the cities of Lhokseumawe, Bireuen and North Aceh, but also from the districts of Central Aceh, Bener Meriah, Gayo Luwes, Langsa, and Aceh Tamiang. In this case, the favorite designation should not be given and the number of registrants should decrease, but on the other hand the enthusiasts for this dayah far exceed other modern dayahs in Lhokseumawe. According to the author's assumption, the large public interest is not only because of its strategic location, but also because of the modernization of the education system in this modern dayah. Based on the background above, the question arises; How is the methodology of moral development and religious practice models in the modern dayah Yapena so that it has increased and made progress? To find out the answers to these questions, a qualitative study was conducted using observation, interview and questionnaire distribution techniques. Based on the results of the study, it was known the efforts to develop morality were carried out by exemplary methods, giving advice, accustoming students to discipline, and through giving strict sanctions for students who commit violations. The teachers in collaboration with the Dayah OSIS and the usroh guardians actively supervised the students so that they always participated in congregational prayers at the mosque, and apply the tradition of living cleanly in the dayah environment. The obstacles faced in the effort to develop morals were the existence of dayah teachers who did not provide good role models for their students, and there was still a lack of support from the santri guardians for various dayah policies. Based on the results of the research, it was also known that the model of worship practices in the modern Dayah Yapena did not emphasize one of the schools in Islam, but gave freedom to choose various sects which were considered correct. So that, could be stated that the negative assumptions of society as mentioned at the beginning of this paper were not true. The assumption of some community members and student guardians that the modern dayah Yapena adheres to the Muhammadiyyah sect was not proven.