EVALUASI PELAKSANAAN MANAJEMEN PROGRAM JAMKESMAS PADA PUSKESMAS DAN JARINGANNYA DI KABUPATEN SORONG TAHUN 2009

Background: Social health insurance (Jamkesmas) was one program for the poor to access healthcare services. The implementation of the Jamkesmas program in Sorong District has still been facing many obstacles, especially in the field and it operational management. It was clearly observed that in some areas of the healthcare services, the indicators of successes have not been met. Objective: The study aimed at evaluating the management of the Jamkesmas program from the aspects of the beneficiaries and the finance of the public health center (Puskesmas) and their network in Sorong District in 2009. Method: The study was qualitative and descriptive with case study design. The subjects were all of the implementers of the Jamkesmas program of PT. Askes (Persero), district management team and the head of public health centers and their networks. The informants were recruited using purposive sampling technique. Results: The study showed that the determination of the poor did not meet the criteria of BPS. The local government did not collect their own data of those in poverty as the beneficiaries of the Jamkesmas hence the cards has distributed to the wrong target. Of the 6,742 Jamkesmas cards, 20,34%, did not meet the criteria and should be resent to the office of PT. Askes (Persero) of Sorong Branch. Conclusion: Local governments should establish a special team for the completion of public complaints, the validation of a new beneficiaries database, as well as put some budget for Jamkesda if funds are insufficient in Jamkesmas