<![CDATA[This study analyzes the implementation of Bekasi City Regional Regulation No. 16 of 2019 regarding the social assistance program for assistive devices in West Bekasi District. Employing a qualitative explanatory case study design grounded in Hill and Hupe's (2002) multi-level governance framework, the research examines the root causes of the gap between policy objectives and field execution. Data were gathered through observation, document analysis, and in-depth interviews with the Bekasi City Social Services, street-level bureaucrats (TKSK and PSM), and beneficiaries. The findings indicate that program implementation remains suboptimal. Key bottlenecks include the absence of a Mayor's Operational Regulation as technical guidelines, data discrepancies between the Social Services and PPDI, local budget cuts restricting assistance quotas, technical issues within the SI-IJAH application, and minimal target group participation, which ultimately leads to prolonged wait times. To mitigate local budgetary constraints, a horizontal referral mechanism was established with the Ministry of Social Affairs' vertical agency (Sentra Terpadu Pangudi Luhur Bekasi). Additionally, deep-seated family social stigma presents a significant hurdle during field verification.]]>
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