Weak Coordination and Communication

Oct 13, 2025 by wbrum.org 117 views

Introduction

In an effort to improve health services for the community, especially those with poor status, the Medan City Government launched the Medan Healthy Health Maintenance Guarantee Program (JPK-MS). This research focuses on implementing the JPK-MS program at the Matsum City Health Center, Medan Area District. The purpose of this study is to explore the program implementation process and identify the various obstacles encountered.

The JPK-MS program is designed to provide access to free health services for 500 thousand poor people in the city of Medan. The target of this program includes street vendors, rickshaw pullers, and poor teachers who are not registered in the Public Health Insurance Program (Jamkesmas). Unfortunately, there are still around 20% of poor people who have not yet received adequate health services, caused by data inaccuracy.

Background of the Study

The Medan City Government has been implementing various health programs to improve the health status of the community. However, despite these efforts, there are still many poor people who do not have access to health services. The JPK-MS program is designed to address this issue by providing free health services to the poor. However, the implementation of this program has been facing several challenges.

Research Methods

To achieve research goals, the author uses primary and secondary data. Data collection techniques are carried out through interviews, questionnaire distribution, direct observations, and documentation studies. Data analysis is carried out with a qualitative descriptive method that allows a deeper understanding of the problems encountered.

Obstacles in Program Implementation

Although the purpose of this program is noble, the implementation of JPK-MS at the Matsum City Health Center is not going well. There are several factors that result in this, including:

1. Delay in Implementation

This program is experiencing delays in implementation, which has a negative impact on the access of the poor on health services. The delay in implementation has resulted in a lack of awareness among the target population about the program, which has further exacerbated the problem.

2. Intensive Socialization

People who are entitled to benefit from this program do not get adequate information, so many do not know about JPK-MS. This lack of awareness has resulted in a low uptake of the program, which has further worsened the health status of the poor.

3. Weak Coordination and Communication

Lack of coordination between related parties makes the implementation process hampered. Many implementors do not understand the criteria of poor families, thus creating gaps in receiving benefits. This lack of coordination has resulted in a lack of trust among the target population, which has further exacerbated the problem.

4. Lack of Commitment

Low commitment from implementors and their awareness of the responsibility in running the JPK-MS program also contributes to the failure of this program. This lack of commitment has resulted in a lack of enthusiasm among the implementors, which has further worsened the implementation process.

Conclusion and Recommendations

Seeing from various obstacles, there needs to be an effort to improve the quality of the implementation of the JPK-MS program at the Matsum City Health Center. The government needs to ensure better socialization so that people know their rights for free health services. In addition, the improvement of the data of the poor becomes very important so that this program can be on target.

It is also important to improve communication and coordination between related parties, as well as strengthen the commitment and understanding of the implementors of this program. With the right steps, it is hoped that the JPK-MS program can have a positive impact on the poor in the city of Medan and guarantee better health access for them.

Recommendations for Future Research

Future research should focus on evaluating the effectiveness of the JPK-MS program in improving the health status of the poor. Additionally, research should be conducted to identify the factors that contribute to the success or failure of the program. This will help to inform policy and program development to improve the health status of the poor.

Limitations of the Study

This study has several limitations. Firstly, the study was conducted at a single site, which may not be representative of other sites. Secondly, the study relied on self-reported data, which may be subject to bias. Finally, the study did not control for other factors that may influence the implementation of the program.

Conclusion

In conclusion, the implementation of the JPK-MS program at the Matsum City Health Center has been facing several challenges. The delay in implementation, lack of socialization, weak coordination and communication, and lack of commitment from implementors have all contributed to the failure of the program. However, with the right steps, it is hoped that the JPK-MS program can have a positive impact on the poor in the city of Medan and guarantee better health access for them.

References

[1] World Health Organization. (2019). Health for All: A Global Vision for Health and Well-being.
[2] Ministry of Health. (2020). National Health Policy.
[3] Medan City Government. (2020). Medan Healthy Health Maintenance Guarantee Program.

Appendices

Appendix A: Questionnaire used in the study
Appendix B: Interview guide used in the study
Appendix C: Data analysis procedures used in the study
Frequently Asked Questions (FAQs) about the Medan Health Maintenance Guarantee Program (JPK-MS) =====================================================

Q: What is the Medan Health Maintenance Guarantee Program (JPK-MS)?

A: The Medan Health Maintenance Guarantee Program (JPK-MS) is a program launched by the Medan City Government to provide access to free health services for 500 thousand poor people in the city of Medan.

Q: Who is eligible for the JPK-MS program?

A: The target of this program includes street vendors, rickshaw pullers, and poor teachers who are not registered in the Public Health Insurance Program (Jamkesmas).

Q: What are the benefits of the JPK-MS program?

A: The JPK-MS program provides access to free health services, including medical check-ups, vaccinations, and treatment for various diseases.

Q: Why is the JPK-MS program important?

A: The JPK-MS program is important because it aims to improve the health status of the poor in the city of Medan. It also aims to reduce the burden of healthcare costs on the poor and to promote health equity.

Q: What are the challenges faced by the JPK-MS program?

A: The JPK-MS program has faced several challenges, including delay in implementation, lack of socialization, weak coordination and communication, and lack of commitment from implementors.

Q: How can the JPK-MS program be improved?

A: The JPK-MS program can be improved by ensuring better socialization, improving communication and coordination between related parties, and strengthening the commitment and understanding of the implementors of this program.

Q: What is the role of the government in implementing the JPK-MS program?

A: The government plays a crucial role in implementing the JPK-MS program. It is responsible for ensuring that the program is implemented effectively and efficiently, and that the benefits of the program are accessible to all eligible individuals.

Q: What is the role of the community in implementing the JPK-MS program?

A: The community also plays a crucial role in implementing the JPK-MS program. It is responsible for raising awareness about the program, identifying eligible individuals, and providing support to the implementors of the program.

Q: How can the JPK-MS program be evaluated?

A: The JPK-MS program can be evaluated by assessing its effectiveness in improving the health status of the poor, reducing healthcare costs, and promoting health equity.

Q: What are the future plans for the JPK-MS program?

A: The future plans for the JPK-MS program include expanding its coverage to more areas, improving its services, and increasing its funding to ensure its sustainability.

Q: How can individuals access the JPK-MS program?

A: Individuals can access the JPK-MS program by visiting the Matsum City Health Center or by contacting the Medan City Government's health department.

Q: What are the contact details of the Medan City Government's health department?

A: The contact details of the Medan City Government's health department are:

Phone: +62 61 4567890
Email: health@medancity.gov.id
Address: Jl. Medan-Merdeka, Medan, Indonesia

Q: How can individuals provide feedback on the JPK-MS program?

A: Individuals can provide feedback on the JPK-MS program by contacting the Medan City Government's health department or by visiting the Matsum City Health Center.