This study aims to describe and analyze the effectiveness of the Free Health Program through the Social Security Administering Body (BPJS) for Health at the Kalipucang Community Health Center, Pangandaran Regency, an implementation of the National Health Insurance policy intended to guarantee access to basic health services for the entire community. Preliminary observations, however, indicated that the program's implementation had not run optimally, as reflected in limited facilities and medical personnel, complicated referral procedures, and the community's limited understanding of BPJS participants' rights and obligations. This research employed a descriptive qualitative approach, with primary data obtained through interviews, observation, and documentation involving seven informants, including the head of the community health center, staff members, and BPJS participants from the community. Program effectiveness was analyzed using Budiani's (2007) theory, which encompasses four dimensions: program target accuracy, program socialization, program goal conformity, and program monitoring. The findings reveal that the program's implementation has not been fully effective. Of the four dimensions examined, two, namely goal conformity and monitoring, have been carried out optimally, while the other two, target accuracy and socialization, remain suboptimal due to inconsistencies in the data of Contribution Assistance Recipients (PBI) and low community participation in socialization activities. Additional constraints include shortages of health personnel and limited service facilities. The Kalipucang Community Health Center, together with related institutions, has undertaken several improvement measures, such as strengthening inter-agency coordination, updating participant data, and enhancing socialization through various media, in order to achieve more effective and equitable health services.
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