Implementation of Health Service Retribution Policy in Kota Jayapura

Abstract

This study aims to analyze the implementation of health service retribution policy in Jayapura City, by examining what are the supporting & inhibiting factors, and exploring the efforts made to optimize it. This research uses Edwards III's policy implementation theory which focuses on 4 indicators, namely communication, resources, disposition, and bureaucratic structure. The research approach used is descriptive qualitative. data collection techniques are interviews, observations, and literature studies. Data analysis includes the stages of data reduction, data presentation, and conclusion drawing. The results of the study Implementation of health service fees in Jayapura City based on Edwards III theory involves four main aspects: effective communication, increased resources of health workers and medical equipment, positive disposition of policy implementers with incentives for performing health workers, and a consistent bureaucratic structure although there are still challenges in the number of workers. Supporting factors for implementation include clear regulations, local government commitment, and trained health and administrative personnel, while inhibiting factors include lack of public understanding, low participation, economic limitations, inadequate infrastructure, and suboptimal service quality. To overcome these obstacles, efforts are needed such as increased community socialization and education, improved health infrastructure, and strict supervision. Optimization of the retribution policy should also be supported by an increase in local revenue (Pendapatan Asli Daerah) through improved quality of facilities, competency development of health workers, and transparency of retribution management so that health services are better, sustainable, and increasingly trusted by the community.