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Medical tourism demands tremendous responsiveness and accountability. The triple bottom line in medical tourism indicates that these organizations must emphasize on economic profits, environmental protection, and conservation of social resources. Developing a resilient medical tourism ecosystem is another critical necessity after the COVID-19 pandemic. The present study attempts to study the various aspects of medical tourism while synthesizing the relevant theories. This synthesis was used to propose a framework for developing a resilient medical tourism system. The outcomes of the chapter also propose the long, medium, and short-term goals. These goals focus on relevant stakeholders for developing highly integrated and resilient medical-tourism destinations.

Purpose – This study aims at finding out the implementation of English for specific purposes (ESP) course and identifying the challenges faced by English lecturers in designing an ESP course for first-year students in the Engineering Faculty of Malikussaleh University.

Methodology – This study implements qualitative research through interviews as a means of data collection.

Findings – This study addresses the application of an ESP course and identifies the challenges appeared during the stages of designing. The study reveals that an ESP course is not completely implemented. In fact, the course provided little ESP contents. The paper also reveals that, in terms of challenges, each stage of design presents its own challenge. To design an ESP course involves five crucial stages, that is, needs analysis, syllabus, material, teaching, and evaluation. Teachers encounter challenges as the design process takes place.

Research Limitations/Implications – The present study provides an account of how English teachers view challenges in implementing a complete ESP course. However, further research should be conducted to discover the possibility of application of ESP course in national universities in Indonesia.

Practical Implications – This paper offers solutions in order to make the implementation of ESP course feasible in the university.

Originality/Value – There have not been any research in ESP application for engineering students in Malikussaleh University.

This study aims to analyze factors that influence the utilization of remittances by Indonesia Migrant Workers (TKI) and to analyze the role of stakeholders in the implementation of financial inclusion. This research used a mixed method, regression analysis, and Matrix of Alliances and Conflicts: Tactics, Objectives, and Recommendations (MACTOR). This study found that the factors that influence savings are training variables, education, and a dummy variable for widow status. The results when remittance as dependent show that the regional origin, dummy variable for receiving remittances, for training, and for determining the use of remittances by TKI themselves had an effect. The implementation of financial inclusion is needed in the economic development of TKI, and the main actors are migrant workers, assistants, economists, and Bapermas. Actors who have the potential for ambivalence are workers who do not participate in mentoring and do not join BUMDes.