The development of the palm oil plantation industry requires companies not only to pursue profitability, but also to carry out social and environmental responsibilities in a sustainable manner in accordance with Law no. 6 of 2023. PT Pasangkayu, as a subsidiary of PT Astra Agro Lestari Tbk, realizes this commitment through the "Astra Sehat" Program in its operational ring one area. However, empirical studies regarding the effectiveness and obstacles of this program specifically at the sub-district level are still very limited. This research aims to analyze the implementation of the Astra Sehat Program by PT Pasangkayu in Martajaya Village, evaluate the benefits felt by the beneficiary community, and identify supporting and inhibiting factors for its implementation. This research uses a descriptive qualitative approach. Data was collected through in-depth interviews with company management, sub-district officials, as well as field observations and secondary documentation. The research results show that the Astra Sehat Program in Martajaya Village is implemented consistently through the development of Posyandu Merpati and Sayang Toddlers. Real contributions include distributing intensive funds to cadres and providing additional food (PMT) to reduce stunting rates and improve maternal and child health. The main supporting factors are strong partnership relationships (social engagement), the commitment of the CSR team, and the active participation of PKK women and the sub-district government. The obstacles found include limited operational geographical service coverage and fluctuations in the level of citizen attendance. The implementation of the Astra Sehat Program by PT Pasangkayu has proven to have a positive social-health impact for the people of Martajaya Village. This multi-party synergy can become a reference model for CSR management in the health sector in the oil palm area.
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