DEMOCRATIZE HEALTH POLICY THROUGH CITIZEN’S CHARTER IN NORTH BENGKULU DISTRICT

This research is analyzing about how the policy of democratization and regional autonomy can
born Citizen’s Charter in public sevice. The purpose of the regional autonomy implementation is
to shortening the distance of service among goverment and the society, so the local goverment
can understand more about desires, aspirations and needs of the community compared with
the central government who has longer distance from the society. The effort to shortening the
distance makes the execution of regional autonomy needs some changes and inovations in giving
the service in order to match with the society needs. The result of this research shows that the
democratization and regional autonomy policy still can’t born the Citizen’s Charter in local public
service yet, particularly in health care services contract in the Arga Makmur city, North Bengkulu.
Realization of the Citizen’s Charter principles in the Puskesmas Arga Makmur, North Bengkulu
district is proved to have different characteristics with the Citizen’s Charter which occurred in
Java commonly. In North Bengkulu, the implementation of the Citizen’s Charter not only need
strong political will from local goverment, budget support (General Revenue and Expenditure Budget/
APBD), the availability of adequate infrastructure, commitment and quality of the resource officers,
community support, the importance of shifting paradigm in society toward formal treatment
like Puskesmas, but also need a personal leadership for the head of Puskesmas. Without any
initiation from personal leadership, it can be sure that the implementation of Citizen’s Charter
in regional seems can’t be running well.