Strategy For Implementing PAMSIMAS Policy Using Jan MerseModel to Elevate Public Health Service Quality (A Case Study in Gorontalo District)

Abstract

This research affords an analysis of a strategy for implementing the Jan Merse public policy model in the
PAMSIMAS program and building an ideal model as an alternative strategy for implementing a policy to improve public
health service quality in Gorontalo District. It is carried out using a descriptive qualitative approach, which requires the
researcher to be the key instrument. Data are collected through observation, structured interviews, documentation studies, and
focus group discussions. Results demonstrate that successful policy implementation, according to Jan Merse’s approach, is
affected by the aspects of information, policy content, organizational supports, community supports, and potency division, as
well as skills, loyalty, and education. Based on the ground condition, it is recommended to use a TARO model approach as an
alternative strategy for implementing the PAMSIMAS program policy. This model combines the government roles from the
aspects of transparency, accuracy, and responsibility with the community roles from the aspect of common ownership.
Accordingly, this model is expected to eliminate potential inhibitors of the program. Additionally, this model can assist the
making of the roadmap of village development using the PAMSIMAS program. Eventually, the PAMSIMAS service can be
delivered in a synergetic and integrated avenue and in conforming with the target to cater to the needs of people with
disabilities and decrease local stunting levels.