Creativity of Local Government Apparatus in Health Development for the Elderly and People with Disabilities in East Lombok and Serang Regencies

This study aims to analyze the creativity of local government officials in developing health services for the elderly and people with disabilities in rural areas of East Lombok Regency and Serang Regency. The research design uses a multiple case study approach to explore health programs in both regencies without comparing them. Qualitative research methods are used to explore data from interviews with key informants in the Health Office, Social Service, and village officials in both regencies. The results show that East Lombok emphasizes collaboration with NGOs and the use of technology to support more effective health services for vulnerable groups. Meanwhile, Serang focuses on community empowerment through formal and informal training for caregivers. Both regencies show complementary approaches: East Lombok with a technology-based approach and external collaboration, and Serang with a community-based approach and local participation. In conclusion, a more inclusive and integrated combination of strategies that is tailored to the local context of each district is needed. Policy suggestions include increasing local capacity, cross-sector collaboration, and strengthening the national health information system to support sustainable and inclusive health services for the elderly and people with disabilities.