Khoirotun Annisah, Muhammad Agus Muljanto

Evaluation Of The Jombang Healthy Card Program Policy For The Poor In Jombang Regency

Introduction

Evaluation of the jombang healthy card program policy for the poor in jombang regency. Evaluate the Jombang Healthy Card program policy for the poor in Jombang Regency. Analyzes its effectiveness, efficiency, equity, responsiveness, and appropriateness, revealing challenges in implementation and reach.

Abstract

The Jombang Healthy Card program is a breakthrough issued by the Jombang Regency Government as a form of assistance for poor people who are not yet covered by national health insurance to obtain adequate health services. This research aims to determine the evaluation of the Jombang Healthy Card program policy for the poor at the Jombang Regency Social Service using the theory of William N. Dunn (2017) which has six evaluation criteria including effectiveness, efficiency, adequacy, equity, responsiveness, and appropriateness. This research method is descriptive qualitative with data collection techniques through interviews, observation and documentation. The results of this research indicate that the evaluation of the Jombang Healthy Card program policy for the poor is still not optimal, with the following explanation: 1) effectiveness, still hampered by administrative problems, public perception and range of access to services resulting in objectives not being optimally achieved, although program monitoring is successful. 2) efficiency, human resources are efficient, but time and infrastructure are still not efficient. 3) adequacy, benefits felt by participants, but not enough to overcome the problem of health service costs for target groups who have not been recorded as participants. 4) equity, program socialization has been carried out, but participation is still not evenly distributed. 5) responsiveness, successful in getting positive responses from poor communities accompanied by constructive input on the Jombang Sehat Card program. 6) appropriateness, implementation is correct but needs to be improved so that the benefits can be felt by more target groups.

Review

This paper presents a timely and important evaluation of the Jombang Healthy Card program, a local initiative designed to provide health assistance to poor residents not covered by national insurance. The study effectively highlights the critical need for regional governments to address healthcare disparities, particularly for vulnerable populations. By aiming to assess the policy's implementation and outcomes, the research contributes valuable insights into the complexities of delivering social welfare programs at a sub-national level, ultimately seeking to understand how well such an intervention truly serves its intended beneficiaries. The methodology employed is appropriate for a policy evaluation of this nature, utilizing a descriptive qualitative approach with data gathered through interviews, observation, and documentation. A significant strength of this study is its rigorous theoretical grounding, explicitly applying William N. Dunn's (2017) comprehensive six-criteria framework for policy evaluation, encompassing effectiveness, efficiency, adequacy, equity, responsiveness, and appropriateness. This structured approach allows for a multidimensional assessment of the program, moving beyond simple output measures to delve into the nuanced performance and societal impact of the Jombang Healthy Card. The findings reveal that the Jombang Healthy Card program, while well-intentioned, is "still not optimal" across several critical dimensions. The study meticulously details shortcomings such as administrative hurdles and limited access impacting effectiveness, inefficiencies in time and infrastructure, and benefits that are not fully adequate for the target group's needs. Furthermore, challenges with achieving equitable participation and the need for program improvements despite positive community responsiveness underscore areas requiring urgent policy refinement. This research thus provides a robust diagnostic tool for the Jombang Regency Government, offering clear, actionable insights for enhancing the program's reach, efficiency, and overall impact on the health and well-being of its poor citizens.

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