Evaluasi Kebijakan Pelayanan Terintegrasi Gratis Ibu Melahirkan Tuntas Administrasi Kependudukan (Patin Gulai Asam) di Kabupaten Labuhanbatu Selatan

Abstract

Integrated public services between maternal health services and population administration constitute an effort by local governments to improve the quality of basic services and to ensure the fulfillment of administrative rights from birth. The Government of South Labuhanbatu Regency initiated the Free Integrated Services for Childbirth with Complete Population Administration Policy (Patin Gulai Asam) as part of this effort. This policy is closely related to the Sustainable Development Goals (SDGs), particularly Goal 16 on Peace, Justice, and Strong Institutions, specifically target 16.9 concerning the provision of legal identity for all, including birth registration. Through the integration of childbirth services with population administration, the Patin Gulai Asam policy is designed to support the completion of population administrative documents from birth. This study aims to evaluate the Patin Gulai Asam Policy in South Labuhanbatu Regency using the CIPP evaluation model developed by Stufflebeam (Context, Input, Process, Product). This research employs a descriptive qualitative approach, with data collected through interviews, observations, and documentation, as well as data triangulation to ensure the validity of the findings. The results show that in the context aspect, the policy has high relevance to community needs and is aligned with national regulations; however, it is not yet supported by adequate local regulatory foundations, as it is based solely on a Cooperation Agreement without a Regent Regulation, an implementing team decree, or standard operating procedures. In the input aspect, the capacity of human resources, infrastructure, budget allocation, and technological readiness remains limited. The service is currently only available at Kotapinang Regional General Hospital, and therefore has not yet reached community health centers and maternity clinics, which serve as the primary childbirth facilities. In the process aspect, policy implementation has not been optimal due to delays in document processing. In the product aspect, although the policy provides benefits, it has not been effective, as administrative documents cannot be completed before patients are discharged from the hospital, and document delivery is often delayed. Consequently, the outcomes and impacts of the policy have not been optimal. Overall, the Patin Gulai Asam policy represents a potentially effective public service policy; however, it has not yet achieved the expected level of public service effectiveness, and its successful implementation still requires several strengthening measures.