Implementation Of The National Health Insurance Policy Within The Banggai District Health Office

Abstract

The National Health Insurance Program (Jaminan Kesehatan Nasional,
JKN) in Banggai Regency shows several problems in its implementation process.
These issues include an insufficient number of health workers as well as
inadequate facilities and infrastructure in direct health service units, which result
in suboptimal services for JKN participants. Considering these existing
phenomena, the author conducted this research to analyze the implementation
of the National Health Insurance Program policy in Banggai Regency. The
research sites included the Banggai Regency Health Office, Luwuk Regional Public
Hospital (RSUD Luwuk), and selected community health centers (Puskesmas) in
Banggai Regency. The theory used is the public policy implementation theory by
Van Metter and Van Horn (Agustino, 2006:161-163). This research employed a
qualitative approach, with informants selected through purposive sampling
techniques. A total of seven (7) informants participated in the study. Data
collection techniques consisted of observation, interviews, and document
studies. Based on the research findings, it can be concluded that the
implementation process of the National Health Insurance Program in the Banggai
Regency Health Office has not been fully effective. This is due to one of the six
policy implementation indicators not being well executed, namely, the availability
of resources. The other five indicators—policy standards and objectives,
characteristics of the implementing agencies, the disposition of implementers,
inter-organizational communication and implementers’ activities, and the
economic, social, and political environment—show conditions that have been
running effectively.