The National Health Insurance (JKN) is a program that has just been presented by the state with the hope of having a huge impact on the health and welfare of the Indonesian people, however, the implementation of this contribution-based social security has problems, especially in providing services to unregistered or non-registered citizens. register. Non-register participants are specified in Government Regulation no. 101 of 2012 concerning Recipients of Health Insurance Contribution Assistance, article 11 namely the addition of data on the Poor and Disabled People and fulfilling the criteria of Poor and Disadvantaged People. The purpose of this study is to identify and analyze Collaborative Governance in handling Non-Register participants' Health Insurance in North Sumatra Province in terms of the collaboration process. This descriptive qualitative research takes the object of study in North Sumatra Province, and uses interview instruments and documents as data collection tools, as well as triangulation analysis and interpretation as discussion. This study found that the process of handling and serving non-registered JKN participants has been carried out, which has fulfilled the collaborative elements and strategies in national social security services, however, the participation of the community is low and the support from employers and the private sector is still not involved in the sustainability of this program. Some aspects show an increase, such as the number of participation and participation commitment to pay membership dues, but other aspects, such as non-registration, have not been implemented optimally, including the readiness of all health resources, including the availability of health workers. inadequate resources, health facilities, medical devices, and health budget. both in terms of quality and quantity
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