Published: 23 Mar 2016.
Open Access
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Nowadays,the level of citizens health in Indonesia is not good enough, that’s
happened because difficulties of the access to get the health services. The
difficulties of access are influenced by many factors, one of them is not having a
financials capability to pay the health services which are expensive. To cope that
problem, the central government makes a program to allow the poor citizens to
get health services free of charge through Nationals Health Assurance program
(JKN). Although the Nationals Health Assurance program (JKN) has run well, in
practical it still has many weaknesses. The main weakness of the data of the
program’s receiver isn’t precise and up to date, and it makes many region’s
citizens who are proved that they don’t have the financial capability but they still
are not on the program receiver’s list. This research talks about the evaluation of
Jepara Goverment’s program to cope the weakness of Nationals Health Service
(JKN) implemented. Jepara region’s government has been implemented the Poor
Citizens Health Service’s program or known as Regional Health Assurance
program (Jamkesda) which has a purpose to take care Jepara’s poor citizens
whose has not registered on National Helath Assurance Program (JKN).
Therefore, Jepara’s poor citizens still get the health services for free. This
evaluation used describtive qualitative method with George Edward III as a main
theory which focused on vital variables which have most influences for program’s
success, there are Communication, Resources, Dispotition, and Bureaucracy
Structure, also supported with Triangulation theory to make better data.
Obstacles and settlements of the Regional Health Assurance program (Jamkesda)
has also been explained. Result of this research shows that the implementation of
Regional Health Assurance (Jamkesda) is running quite well to give the free
health service for Jepara’s poor citizens, so the purpose to make poor citizens feel
safe through health assurance’s program can be accomplished. The main obstacle
of this program is the promotion hasn’t spreaded well through all citizens and
because of that miss targeting of program’s participants oftenly happened, the
weakness of monitoring also makes people who shouln’t get this free charge
service can use this program. The advices from researcher for the main actor of
this program Jepara Health Department (DKK) is DKK has to be more explicit in
regulations to arrange people who deserve and who don’t get this health
assurance, and coordinate from the bottom to the top in order to that missed
targets never occurred again.

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