Analysis on Policy of JKN Implementation in Jember Regency

Abstract

The central and regional governments are responsible for the availability of health facilities and the provision of health services for the implementation of the National Health Insurance (JKN) program. Puskesmas (Primary Health Care), as a health facility owned by government, is required to be a First Level Health Facility (Fasilitas Kesehatan Tingkat Pertama (FKTP)). The type of this research was qualitative research. Data collection technique in this research was in depth interview technique (in-depth interviews). The focus of the research was analyzing the duties and functions of each institution related to the implementation of JKN, the regulation underlying the implementation of JKN, and the obstacles in the implementation of JKN at primary health care. The result of the research showed that the policy or regulation supporting the implementation of JKN did not accommodate several conditions in Jember Regency. The utilization of capitation funds was constrained by the policy, so that the number of Silpa was quite large. There should be the intervention of the local government and other relevant agencies that formulate a more flexible regulation to support the implementation of JKN, so that the capitation funds can be useful.