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All Journal JURNAL ILMIAH KESEHATAN MASYARAKAT DAN SOSIAL
Alfi Nesfiana
Universitas Sriwijaya
Education Nursing Veterinary

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Studi Literatur: Faktor Penghambat Implementasi Kebijakan Program Indonesia Sehat dengan Pendekatan Keluarga (PIS-PK) dalam Meningkatkan Akses Pelayanan Kesehatan di Kota Palembang Shafa Athiya Novila; Hopipa Ladaina; Rahmita Revadina; Alfi Nesfiana; Mutia Wanda Azizah; Loly Setiani; Fransilla Grace Susanto; Riza Adelia Suryani; Galuh Efnol Adzan; Novitry Pratiwi
JURNAL ILMIAH KESEHATAN MASYARAKAT DAN SOSIAL Vol. 4 No. 4 (2026): November : JURNAL ILMIAH KESEHATAN MASYARAKAT DAN SOSIAL
Publisher : CV. ALIM'SPUBLISHING

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59024/jikas.v4i4.2509

Abstract

This study aims to identify and analyze the factors hindering the implementation of the Healthy Indonesia Program with a Family-Based Approach (PIS-PK) in improving access to public health services, particularly at the community health center (Puskesmas) level in Palembang City. Using a qualitative method based on a literature review with descriptive-qualitative analysis, secondary data sourced from various scientific articles were synthesized based on George C. Edward III’s theoretical framework of policy implementation. The results of the study indicate that the implementation of PIS-PK still faces various complex and interrelated barriers, including uneven public outreach (communication), limited numbers and training of health workers as well as high levels of dual workloads (resources), varying levels of commitment among staff in following up on data (disposition), and suboptimal hierarchical coordination and referral pathways (bureaucratic structure). It can be concluded that although the data collection and home visit phases are underway, this program has not yet been optimal in providing follow-up health care; therefore, an evaluation of the workload, strengthened coordination, and the provision of supporting facilities are necessary to achieve equitable access to health care for the community
Co-Authors Adzan, Galuh Efnol Fransilla Grace Susanto Hopipa Ladaina Loly Setiani Mutia Wanda Azizah Pratiwi, Novitry Rahmita Revadina Riza Adelia Suryani Shafa Athiya Novila