<![CDATA[This study analyzes the implementation of the "SAHATE" Integrated Referral Service System (SLRT) policy in Purwakarta Regency using Hill & Hupe's (2002) theoretical framework on multi-level governance. This qualitative research, using a holistic single-case study design, collected data through in-depth interviews with 12 informants, participant observation, and documentation. The research findings indicate that the implementation of the "SAHATE" SLRT did not proceed linearly. The policy characteristics in Regent Regulation No. 129 of 2023 continue to cause confusion in the field, resource allocation is inadequate, the policy transfer process is uneven across villages, and the capacity and motivation of facilitators vary widely. Sustainability of post-referral assistance remains weak, while social stigma from families and local political intervention also influence implementation outcomes. This study concludes that the effectiveness of the "SAHATE" SLRT is determined more by the response of implementers at the grassroots level and the local socio-political environment than by the formal policy design alone.]]>
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