Implementation Evaluation of The National Health Insurance (JKN) Program As An Effort Towards Universal Health Coverage (UHC) in Empat Lawang Regency

Abstract

As a sign of the government's commitment to executing the National Health Insurance Program (JKN), the President issued Presidential Instruction Number 8 of 2017 and Presidential Instruction Number 1 of 2022 concerning Optimizing the Implementation of the National Health Insurance Program. According to data from 2021, South Sumatra Province's Empat Lawang Regency has the lowest membership achievement. This study intends to assess the National Health Insurance Program's (JKN) implementation in the Empat Lawang Regency's efforts to achieve Universal Health Coverage (UHC).

The study used a qualitative design method. This study used purposive technique to select informants. Data were collected by in-depth interviews with 7 informants, document review and observation. Validation of the data used triangulation methods and sources. Furthermore, this study used content analysis method.

The results of the study showed that the Regional Government of Empat Lawang Regency has carried out several Instructions instructed in the Second Presidential Instruction. There are several instructions that have not been carried out, such as Non State Civil Apparatus (State Civil Apparatus (ASN)) participation, National Health Insurance (JKN) participation as a requirement in the completeness of licensing documents; and imposition of administrative sanctions for Employers other than State Administrators; The achievement of National Health Insurance (JKN) participation in Empat Lawang Regency as of April 1, 2022 reached 57.40%. Budget restrictions and other challenges from diverse groups continue to be a problem for local governments. In the future, it is envisaged that the Regional Government would be able to carry out all orders pertaining to the National Health Insurance (JKN) program's execution.

Keywords: National Health Insurance (JKN), UHC, Achievement, Evaluation