Vol. 2 No. 1 (2026): February
Articles

HEALTHCARE SERVICE INNOVATION IN ISOLATED REGIONS: AN ANALYSIS OF THE MOBILE PUSKESMAS PROGRAM IN PAPUA

PDF
  • Ibrahim,
  • Kristyan Dwijosusilo ,
  • Ika Devy Pramudiana
Ibrahim
Universitas Dr. Soetomo
Kristyan Dwijosusilo
Universitas Dr. Soetomo
Ika Devy Pramudiana
Universitas Dr. Soetomo

Published 2026-02-28

Keywords

  • Mobile Health Center; Isolated Areas; Diffusion of Innovation

Abstract

Health service accessibility in isolated areas of Papua represents a critical problem faced by Indonesia, where communities must travel 2-3 days on foot to reach the nearest health facility, resulting in high maternal and infant mortality rates. This study aims to analyze the effectiveness of the Mobile Health Center (Puskesmas Bergerak) Program implementation in Papua in improving access and quality of health services in isolated areas using Everett M. Rogers' diffusion of innovation theory. This research employs a qualitative method with data collection through in-depth interviews with key informants including the Head of Yakonde Village Kurulu District Yahukimo Regency, Head of Wainaga Village, health center staff, and service recipients. Primary data was collected through direct observation and analysis of program evaluation documents to understand the dynamics of health service innovation adoption in isolated areas. Research findings indicate significant success of the Mobile Health Center Program with total elimination of maternal mortality over the past 3 years in Yakonde Village, elimination of infant mortality cases due to diarrhea and high fever, and spontaneous program adoption by neighboring villages through observational learning. This program has successfully transformed health service accessibility from previously unreachable to routine reality with medical team visits every two weeks. The study recommends strengthening the monitoring system, increasing operational budget, developing service protocols adapted to Papua conditions, and establishing local health cadres for program sustainability.

PDF

References

  1. Ahyuni, S., & Sutjipto, H. (2023). The effectiveness of mandatory spending on health functions and its impact on public health in Papua Province. Social, Ecology, Economy for Sustainable Development Goals Journal, 1(1), 24–42. https://doi.org/10.61511/seesdgj.v1i1.2023.158
  2. Alaslan. (2023). Qualitative Research Methods.
  3. Apay, F., Manangsang, F., Purba, ERV, Gentidatu, S., Swastika, IK, Rophi, KH, Rumaseb, E., Muspitha, FD, Rahayu, G., & Mebri, E. (2024). Improving Public Health in Ifar Besar Village, Papua Through Counseling on Malaria, Stunting, Scabies, Gout, and TB. Indonesian Civil Society Journal, 3(3), 222–228. https://doi.org/10.59025/js.v3i3.227
  4. Calundu, R. (2025). The Effectiveness of Community Health Center Services on the Level of Understanding of Healthy Living in Rural Communities in South Sulawesi. Journal of Civilization Management, 5, 153–163. https://journal-stiehidayatullah.ac.id/index.php/tadbir/article/view/552
  5. Devi, HM, Purborini, N., & Putri, RM (2022). A Case Study of Nursing in Remote Communities in the Bumiwonorejo Community Health Center Work Area, Nabire, Papua, Indonesia. Journal of Nursing Care and Biomoleculer, 7(1), 93–98. https://doi.org/10.32700/jnc.v7i1.260
  6. Eka, JA (2024). Transformation of Community Health Centers in Realizing Quality Services.
  7. Genta Widyasari, IAP, & Idyani Wedhaswari, IAM (2024). Improving Access and Quality of Health Services through Mobile Health Centers: Experience at the Tembuku I Community Health Center in Addressing Stunting and Environmental Diseases. Dharma Sevanam: Journal of Community Service, 03(02), 172–185.
  8. Kafiar, Alfandi Lamek. (2023). Implementation of the Malaria Elimination Program Policy in Kobakma District, Central Mamberamo Regency, Papua Mountains Province. PROMKES Journal, 8(2), 132.
  9. Katarina, Y., & Rahman, H. (2026). Evaluation of the Implementation of Maternal and Child Health Programs in Improving Access to Health Services in Underdeveloped Areas in Indonesia. 2(1).
  10. Layrvina, Kirmantika, Nayssa Anggun, & Amalia, Kurnia Dwi Wahyu. (2025). Optimizing Health Human Resources Planning in Remote Areas: A Case Study of the Tolikara District Health Office, Papua. 3.
  11. Mailin, Rambe, G., & Candra. (2022). MEDIA THEORY/DIFFUSION THEORY OF INNOVATION. 6.
  12. Mangonto, YI, Romantir, R., Dosinaeng, ASW, Saway, Y., & Touw, M. (2024). Policy Analysis and Implementation of Posbindu PTM at Harapan Community Health Center, Jayapura Regency, Papua. JIIC: Jurnal Intelek Insan Cendikia, 1(8), 3304–3319.
  13. Medyati, N., Makaba, S., Togodly, A., Rantetoding, S., Zainuri, A., & Ruru, Y. (2024). Analysis of the Implementation of the Stunting Management Program at the Papua Provincial Health Office. Innovative: Journal of Social Science Research, 4(3), 6936–6953. https://j-innovative.org/index.php/Innovative/article/view/11035
  14. Multazam, Andi Muhammad, & Andayanie, E. (2024). Public health.
  15. Nurjaman, Rahmat, & Patty, SR (2024). Analysis of Public Service Quality (Study at the Kampung Harapan Community Health Center, Jayapura Regency, Papua). Publikauma: Journal of Public Administration, University of Medan Area, 12(2), 106–114. https://doi.org/10.31289/publika.v12i2.12196
  16. Rauf, SF, Lambe, KH ., & Baharuddin. (2025). Analysis of the implementation of the special autonomy health card and the quality of health services in Central Papua Province. ECOHOLIC: Journal of Holistic Economics, 1(1).
  17. Saputra, T., & Frinaldi, A. (2023). Systematic Literature Review of Digital-Based Public Service Innovation. Menara Ilmu, 17(01), 116–124.
  18. Widjaja, G., Wagiman, Yustanti, Dyah Ersita, & Sijabat, Hotmaria Hertawaty. (2025). EVALUATION OF THE IMPLEMENTATION OF THE NATIONAL HEALTH INSURANCE (JKN) POLICY IN IMPROVING ACCESS TO PUBLIC HEALTH SERVICES IN INDONESIA. 3(2), 177–188.
  19. Wilem Reinhart Ridolof, P., & Eko, W. (2024). Dynamics of Implementation of Health Worker Placement Policy in Remote Areas: Challenges and Field Realities. Tambusai Health Journal, 5(1), 2309–2329.
  20. Yanto, D., Kristhy, Mutia Evi, & Kristanto, K. (2022). Law Number 25 of 2009 Concerning Public Services as Values of Service. Journal of Legal Communication, 8(1), 469–480.