Evaluating Free Healthcare Effectiveness in Bandar Lampung City: A Health Department Study

This research aims to evaluate the effectiveness of free healthcare services in the city of Bandar Lampung, with a focus on the performance of the City Health Department. To understand and measure the effectiveness of the services, this research refers to three effectiveness indicators according to Duncan's theory: objectives, integrity, and adaptation. The research was conducted through interviews with informants from the City Health Department, Simpur Inpatient Health Center, and Wayhalim Health Center, including the Head of Health Centers, Head of Free Health Services, Doctors, Pharmacists, and Patients. The research results show diverse perspectives on the achievement of objectives in free healthcare services in Bandar Lampung. Although free healthcare services are well-regulated through a series of regulations, including the Bandar Lampung City Mayor's Regulation, informants stated that the objectives are still in the process of being achieved. Integrity in the services is evident from the close relationship between the City Government and the socialization efforts they have made to support effective integration in free healthcare services. In terms of integration, informants explained that the socialization of the implementation of free healthcare services in the city has been successful. Adaptation in free healthcare services seems to have reached some positive levels. However, there are reports from patients who have had unsatisfactory experiences, especially in emergency situations at the Simpur Inpatient Health Center. The research concludes that free healthcare services in Bandar Lampung have achieved some positive achievements, especially in terms of integration and adaptation. However, there are still areas that need improvement, especially in emergency situations, increasing friendliness, increasing the number of staff, and improving emergency services and infrastructure.