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Paselle, Enos
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Implementation Implementation of Free Health Check-up Policy for The Community in Samarinda City Setyawan, Budy; Paselle, Enos; Indarto, Kus
PUBLIKA : Jurnal Ilmu Administrasi Publik Vol. 12 No. 2 (2026): Publika : Jurnal Ilmu Administrasi Publik
Publisher : UIR Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25299/jiap.2026.29145

Abstract

This study analyzes the implementation of the Free Health Examination (PKG) policy in Samarinda City based on the Decree of the Minister of Health Number HK.01.07/MENKES/33/2025 and identifies the factors hindering its implementation. A descriptive qualitative approach was employed using in-depth interviews, observations, and documentation. Sixteen purposively selected informants included officials from the Health Office, heads of health centers, technical staff, community members, and health cadres. Data were analyzed using the Miles and Huberman interactive model and the Van Meter and Van Horn policy implementation framework. The findings indicate that PKG implementation remains suboptimal. Only 45,590 of the 822,962 targeted beneficiaries (15.66%) had received services, with considerable disparities among health centers (0.75–12.64%). Major barriers include inconsistent understanding of policy standards, limited budgets (covering only about 43% of estimated needs), shortages of health personnel, inconsistent adherence to standard operating procedures, weak cross-sector coordination, inadequate public outreach, declining implementation motivation, and the continued dominance of a curative healthcare paradigm. Leadership commitment among health center heads emerged as the key factor distinguishing high- and low-performing facilities. The study recommends developing local technical guidelines, increasing budget allocation, strengthening cross-sector collaboration, and adopting community-based, face-to-face socialization strategies to improve policy implementation.
Co-Authors ., Erlinsiana Abdul Azis Aditya Defiga, Ferdinand Raffi Aggriani, Gita Riski Alamin, Fathul Amelia, Eka Ratna Aristianto, Akhmad Armeyn Arbianto Astuti, Renika Atmoko, Dwi Bang, Aldous Billezra Bella, Claudia Chintiya Daryono Daryono, Daryono Dewi R, Khairunisa Putri Eduwin, Eduwin ENDRI ENDRI Erika Bato, Bulan Ernita, Lina Febrianti, Amanda Putri Fitriadi, Ahmad Gitta, Helga Gunarso, Willem Hendrik Haliza, Elza Fatika Nur Handaya, Rahma Hariyana, Lilis Harun HENDRA GUNAWAN B11211055 Henly Putri, Annisa Asri Hudthaibah, Hudthaibah Idris, Adam Indarto, Kus Indrawan, Ferdi Indriani, Eny Agus Irmadani, Cindy Istamala, Nadia Jam'anah, Jam'anah KA, Abdurahman Khairina, Etika Kohir, Karina Kresna, Adi Kueng, Ding Maharani, Adji Puteri Mila Mangele, Isai Julianto Maulidah, Maulidah Ma’adul Yaqien Makkarateng Mega, Mega Mohammad Taufik Muhammad Noor Muhammad Yunus Natalia, Feodora Norsabila, Annisa Nurrahman, Muhammad Arif Nursalsabila, Yashinta Oktavia, Ellisa Wulan Palapessy, Carolene Agatha Panuntun, Ariya Paranoan, Dan Buntu Patton, Adri Rahardi, Muhammad Nur Haswin Rahim, Muhammad Nur Rahim, Okinu Ramdan, Abidea Bima Ramdan, Darmawan Robiyandi, Robiyandi Roshada, Fariz Farhan Rusdi Rusdi Sari, Mila Septianti, Dina Setiawan, Didik Bagus Setyawan, Budy Shidiq Q, Hasbie Siti Kotijah Suprapto, Thotok Surya, Iman Syahputra, M. Arib Herzi Syandana, Salsabila Tarmiji, Muhammad Rachmadani Vatmawati, Nova Wendy Waldianto Wicaksono, Dado Shobari Yanti, Rosida Yonlius, Aprilianus Yuliana Yuliana Zhan, Fuzy Firda