<![CDATA[Community Health Centers (Puskesmas) are crucial in promoting health and empowering communities to maintain their health independently. However, health promotion programs have not been optimal in their journey due to various obstacles. This study aims to capture and analyze the implementation of health promotion programs and the challenges implementers face. Qualitative research with a case study design was conducted at four Community Health Centers in Serdang Bedagai Regency from December 2021 to March 2022. In-depth interviews involved the heads of the Community Health Centers, the responsible individuals for health promotion programs at the centers, and community health cadres. A total of 12 participants underwent in-depth interviews to deeply explore information regarding policy aspects, funding, facilities, and human resources. Additionally, data were collected through observation and documentation. Data analysis followed the protocol developed by Miles and Huberman. The study results indicate that implementing health promotion at Community Health Centers has not been optimal due to barriers such as program funding availability, inadequate supporting facilities, and a shortage of competent human resources. Adequate budget allocation, provision of supporting facilities, and training for program implementers are necessary focal points for stakeholders to ensure that programs yield optimal outcomes.]]>
