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

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