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IMPLEMENTASI KEBIJAKAN PERATURAN DAERAH KABUPATEN DAIRI NOMOR 5 TAHUN 2014 TENTANG PENGELOLAAN SAMPAH DI KAWASAN PARIWISATA DANAU TOBA (Studi Kasus Kecamatan Silalahi Kabupaten Dairi) Erika Damanik; Marlan Hutahaean; Artha Tobing; Jonson Rajagukguk
JOURNAL OF SOCIAL, JUSTICE AND POLICY Vol. 5 No. 4 (2026): 2026 JULI
Publisher : Lembaga Kajian Ilmu Sosial dan Politik (LKISPOL)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56015/sjp.v5i4.117

Abstract

The development of the tourism sector in the Lake Toba area has encouraged the Dairi Regency Government to improve environmental quality through the implementation of Dairi Regency Regional Regulation Number 5 of 2014 concerning Waste Management. This regulation aims to create a clean, healthy, and sustainable environment while enhancing the attractiveness of tourism destinations. However, the implementation of this policy in Silahisabungan District has not been optimal, as indicated by the continued accumulation of waste in tourism areas, limited facilities and infrastructure, as well as inadequate inter-agency coordination and community participation in waste management. This study aims to analyze the implementation of Dairi Regency Regional Regulation Number 5 of 2014 concerning Waste Management in the Lake Toba tourism area and to identify the factors that hinder its implementation in Silahisabungan District, Dairi Regency. This study employed a qualitative method using a case study approach. Data were collected through interviews, observations, and documentation, and analyzed using an interactive analysis model. The findings reveal that the implementation of the policy has not yet been carried out optimally. In terms of communication, the dissemination of the policy to the community and tourism business operators has not been evenly implemented. Regarding resources, the limited number of waste collection vehicles, waste management facilities, and sanitation personnel remain the main constraints. In terms of disposition, the implementers have demonstrated a fairly good commitment; however, community participation remains low. Furthermore, from the bureaucratic structure perspective, weak coordination among related agencies is still evident in the implementation of waste management. Therefore, stronger inter-agency coordination, adequate provision of facilities and infrastructure, improved policy dissemination, and greater community participation are required to ensure more effective policy implementation in supporting environmental sustainability and the sustainable development of tourism in the Lake Toba area.
EFEKTIVITAS PELAYANAN KARTU INDONESIA SEHAT (KIS) DI KOTA PEMATANG SIANTAR (STUDI KASUS RSUD DR. DJASAMEN SARAGIH) Juan Hendra Fansisco Sinaga; Jonson Rajagukguk; Maringan Panjaitan
JOURNAL OF SOCIAL, JUSTICE AND POLICY Vol. 5 No. 4 (2026): 2026 JULI
Publisher : Lembaga Kajian Ilmu Sosial dan Politik (LKISPOL)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56015/sjp.v5i4.119

Abstract

This study aims to analyze the effectiveness of health services for patients holding the Indonesia Health Card (KIS) at RSUD Dr. Djasamen Saragih. This research is motivated by the importance of providing quality health services to the community, particularly for participants of the national health insurance program. This study employed a qualitative research method with a descriptive approach. Data collection techniques were conducted through interviews, observations, and documentation involving key informants, main informants, and additional informants. Data analysis was carried out using the qualitative analysis model proposed by John W. Creswell, which includes data reduction, data display, and conclusion drawing. The results of the study indicate that health services for KIS cardholders at RSUD Dr. Djasamen Saragih have generally been implemented quite effectively. This can be observed through several indicators of public service effectiveness according to Mahmudi, namely the accuracy of service targets, timeliness of service delivery, service quality, and patient satisfaction. The hospital has implemented patient data verification procedures and a referral system to ensure that services are provided to eligible KIS participants. In terms of service time, waiting periods still occur due to the high number of patients and certain technical constraints in the service process. Meanwhile, the quality of services provided by healthcare workers is considered quite good as they deliver services in a friendly, communicative, and professional manner according to healthcare standards. The level of patient satisfaction also indicates that most patients feel helped by the healthcare services provided by the hospital. Therefore, it can be concluded that health services for KIS cardholders at RSUD Dr. Djasamen Saragih have been quite effective, although improvements are still needed in terms of service speed and the availability of healthcare facilities