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Journal : PINISI Discretion Review

Integrating Foresight and Feedback Systems for Adaptive Health Governance: A Case Study of Jeneponto Regency, Indonesia Sakawati, Herlina; Fitri, Anisa; Widyawati, Widyawati; Haerul, Haerul; Agustina, Nina
PINISI Discretion Review Volume 9, Issue 1, September 2025
Publisher : Universitas Negeri Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26858/pdr.v1i1.80685

Abstract

The changing global health landscape demands a healthcare system that is not only responsive to crises but also has anticipatory capabilities through data-driven, adaptive, and long-term governance. This study aims to analyze the dynamics of the Foresight System and Feedback System in healthcare governance in Jeneponto Regency, South Sulawesi, as a representation of the application of the anticipatory governance concept at the regional level. The study used a qualitative approach with a case study design, involving in-depth interviews with Health Office officials and heads of community health centres, as well as analysis of secondary documents such as the 2024–2026 Health Office Strategic Plan and the Community Satisfaction Index report. Data analysis was conducted using the Miles, Huberman, and Saldaña model, which includes data condensation, data presentation, and drawing and verifying conclusions. The results show that the capacity of the Foresight System in Jeneponto Regency is still limited to administrative reporting functions and has not yet played a role as an anticipatory system in predicting health risks based on epidemiological trends. Meanwhile, the Feedback System demonstrates progress toward an adaptive evaluation model, with four of the five key performance indicators improving, although the speed of response to critical health risks, such as maternal mortality, remains suboptimal. Key barriers include fragmented health information systems, limited analytical capacity, and weak integration across digital platforms such as SIMPUS, e-Puskesmas, and SKDR. This study confirms that simultaneous integration of the Foresight System and Feedback System is necessary to build an anticipatory and responsive health governance cycle at the regional level.
Co-Authors A, Muhammad Rizal Adia Purna, Zarni Ahmad, Sulmiah Aina, Asri Nur Ainun, Nur Fitra Amalia, Andi Radia Nur Ameliani, Liska Anary, Sherina Anisa Fitri Arif, Fauziah Nur Hikmah Aris Baharuddin Aslinda, Andi Azhari, Megawati Chairunnisa, Tarisca Amelia Erviana, Irna Fadilahaya, Andi Aqila Febrilia, Rafifah Fitri, Anisa Fitriyani, Fina Gani , Andika Wahyudi Guntur, Muhammmad Haedar Akib Haerul, Haerul Hafish, Ahmad Hairia Hairia, Hairia Halim, Didin Hamid, Ardian Sukmawan Hamrah Hamrah Hanafi Gani, Imran Herling, Herling Hiyar, Annisa Nurul Hasanah Ismail Ismail Izzati Qur'aini, Dzul Jamaluddin Jamaluddin Kasih, Andi Selvi Ratih Madulu, Jeni Maya Kasmita Muh. Rizal Muhammad Fajrin, Muhammad Muhammad Guntur, Muhammad Muhammad Luthfi Mukhlis, Zulhimmah Muswar, Irza Fachrul Nandasari, Nandasari Nasrullah, Muh. Nikmawati, Andi Nina Agustina, Nina Novayanti Sopia Rukmana Novayanti Sopia Rukmana, Novayanti Sopia Novita Sari Nur Yamin, Muhammad Nur, Andi Cudai Nurul Fitriana Nuryamin, Muh Oky Nur Pratiwi Johansyah Paresa, Gabriella Pratiwi, Nur Azizah Putra, Alim Alisa Putri Z, Bintang Maharani Putri, Nur Qamaria Rahmat, Miftahul Ramadhani, Delia Riski Amalia, Riski Risma Niswaty Ristiana, Evi Ritu, Susan Rivai, Andi Muh. Rivai, Andi Muhammad Rizal Rizal Rizal S, Muh. Rustam, Rismayanti Sakti, Nur Karya Sari, Vita Sarifah, Besse Sartika, Elsa Sirajuddin Saleh Solly Aryza Sopia Rukmana, Novayanti Suci Pratiwi Sulfira Sulfira, Sulfira Sulmiah Sulmiah, Sulmiah Syam, Febrianto Syarifuddin Syarifuddin To Tadampali, Andi Caezar Umar, Nur Fadhilah Wati, Nyai Kurnia Widyawati Widyawati Yamin, Muh Nur Yamin, Muh. Nur Yamin, Muhammad Nur Yanti, Resky Zarni Adia Purna