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IMPLEMENTATION ANALYSIS OF INDONESIA’S HEALTH SYSTEM STRENGTHENING POLICY: A CASE STUDY THE SOPHI PROGRAM AT THE MINISTRY OG HEALTH Kunto Ariawan; Bambang Giyanto
Multidiciplinary Output Research For Actual and International Issue (MORFAI) Vol. 5 No. 6 (2025): Multidiciplinary Output Research For Actual and International Issue
Publisher : RADJA PUBLIKA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54443/morfai.v5i6.4479

Abstract

The Strengthening of Primary Healthcare in Indonesia (SOPHI) program is a Ministry of Health initiative to strengthen primary care and accelerate Universal Health Coverage by addressing shortages of medical equipment. Currently, only 61.07% of Community Health Centers (Puskesmas) meet the standard equipment set. Field evidence indicates targeting and duplication risks: 45% of sampled Puskesmas received equipment they had not requested, while 69% of requested items were already available—signaling a misalignment between planning and actual needs. This study aims to analyze SOPHI's policy implementation in need planning and distribution of equipment at primary facilities, and to identify factors shaping the accuracy and effectiveness of planning and to formulate policy recommendations. A qualitative, post-positivist approach was employed. Primary data were collected through in-depth interviews with purposively selected key informants (Ministry of Health, KPK, provincial/district health offices, and Puskesmas in DKI Jakarta, Garut, Jambi City, and Muaro Jambi). Secondary data comes from documents and literature reviews. Analysis followed George C. Edwards III's implementation framework—communication, resources, disposition, and bureaucratic structure. Findings show constraints rooted in: (1) incomplete and inconsistent central instructions and weak last-mile communication; (2) inaccurate needs data, limited human resources, and insufficient operational budgets for field verification; (3) opportunistic local dispositions (eg, “apply for everything”) and ASPAK data manipulation; and (4) fragmented authority and misaligned central–local structures that hinder coordination. Collectively, these factors result in mistargeting and procurement duplication. Recommendations include strengthening two-way, last-mile communication; enforcing ASPAK as a verified, tiered, single source of truth; investing in data stewardship capacity and verification budgets; fostering data integrity with clear incentives and sanctions; and realigning coordination channels (involving Kemendari, Irda, and Bappeda) to ensure integrated, needs-based provisioning.
Implementation of a Digital-Based Accommodation Reservation System for Optimization of PNBP at the Bekasi Hajj Dormitory Dwi Isti Anggraini; Kunto Ariawan; Asropi Asropi
Al Qalam: Jurnal Ilmiah Keagamaan dan Kemasyarakatan Vol. 19, No. 6 : Al Qalam (November 2025)
Publisher : Sekolah Tinggi Ilmu Al-Qur'an (STIQ) Amuntai Kalimantan Selatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35931/aq.v19i6.5683

Abstract

The utilization of State-Owned Assets (BMN) at Bekasi Hajj Dormitory and the broader push for public service digitalization have led to the implementation of an online accommodation reservation system, SIASAH. This application stands as the sole digital system across all Hajj dormitories in Indonesia, developed to uphold Good Governance principles by considering effectiveness, efficiency, and transparency in service management, particularly in optimizing Non-Tax State Revenue (PNBP). This study employs a qualitative approach, using the PESTLE analysis model. Data were gathered through interviews with the application developers, reservation and accommodation staff, and service users, complemented by a review of documents such as accommodation usage reports and official website data from Bekasi Hajj Dormitory. The findings indicate that SIASAH has successfully enhanced financial accountability and transparency. However, the system continues to face significant challenges, including public resistance to technology adoption, limitations in human and physical resources, and a sub-optimal integration of environmentally friendly practices. To address these issues, the report recommends a broader marketing strategy via social media platforms, strengthening resource management, and developing digital archiving features. These measures are crucial for ensuring the system's sustainability, improving its efficiency, and elevating the quality of public services provided.