<![CDATA[This study aims to identify and analyze the factors hindering the implementation of the Healthy Indonesia Program with a Family-Based Approach (PIS-PK) in improving access to public health services, particularly at the community health center (Puskesmas) level in Palembang City. Using a qualitative method based on a literature review with descriptive-qualitative analysis, secondary data sourced from various scientific articles were synthesized based on George C. Edward III’s theoretical framework of policy implementation. The results of the study indicate that the implementation of PIS-PK still faces various complex and interrelated barriers, including uneven public outreach (communication), limited numbers and training of health workers as well as high levels of dual workloads (resources), varying levels of commitment among staff in following up on data (disposition), and suboptimal hierarchical coordination and referral pathways (bureaucratic structure). It can be concluded that although the data collection and home visit phases are underway, this program has not yet been optimal in providing follow-up health care; therefore, an evaluation of the workload, strengthened coordination, and the provision of supporting facilities are necessary to achieve equitable access to health care for the community]]>
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