PWYP Indonesia, in collaboration with Yayasan Nusantara Sejati and the North Lampung Local Government, and with support from the European Union and the Open Government Partnership, implemented a Program Review as a participatory evaluation tool to assess the delivery of government programs together with the community. The activity took place on Monday, 24 August 2026, at the North Lampung Bappeda (Regional Development Planning Agency) office and reviewed two programs: Village Excellence Population Administration Services (PAKSU) and Puskesmas Mider.
The Program Review created a space for local government, independent evaluators, and the community to examine directly whether the programs are operating in line with their objectives, delivering benefits, and to identify remaining challenges. The activity involved 30 community assessors, an evaluation team, program managers, sub-district heads and the head of the puskesmas along with staff, as well as officials from the North Lampung Regency Government. The evaluation team consisted of the Head of Bappeda of North Lampung Regency, Aryan Saruhian; the Chair of STIE Ragam Tunas, Susti Rumianti; and the Head of the Indonesian Doctors Association (IDI) North Lampung Branch, Alef Adlia Rahmani. The session was moderated by Ichwani Wahidin and opened by the Assistant I for Government and People’s Welfare of North Lampung Regency, Mat Soleh.
The activity began with presentations from each program on background, objectives, implementation mechanisms, achievements, benefits, and constraints. Discussion then continued between evaluators and the community before participants completed the Program Evaluation Sheet (LEP) to determine whether each program should be continued, improved, or discontinued.
Bringing Population Administration Services Closer to the Community
For the PAKSU program, the local government explained that population administration services have been brought down to the village level through a local government application and operators drawn from village officials. Each village has two operators so that services can continue if one operator is unavailable. This model is also considered efficient because it does not require additional honoraria from the regional budget (APBD), while paper needs are covered through the village budget.
From the service side, community members can process documents at the village office without having to go directly to the Population and Civil Registration Office (Dukcapil). Outreach is carried out through social media and visits to villages, while operator capacity is strengthened through technical guidance and a WhatsApp communication group. The government also provides complaint channels to prevent illegal fees, including a complaint number posted in villages and direct communication with Dukcapil. However, community evaluation showed that several problems remain. Community members reported that the issuance of Family Cards (KK) is still perceived as slow in certain cases, leading to the view that using brokers is faster. Another issue is limited facilities for recording identity cards (KTP). Not all sub-districts can yet carry out recording because of equipment constraints. The local government outlined a plan to add devices with budget support of around IDR 200 million.
The community also highlighted the quality of Family Card materials, the KTP delivery mechanism, limited services for complex administrative cases, and the quality of staff interaction. On service quality, the government emphasized the importance of applying the 5S principles—greeting, smiling, addressing people politely, courtesy, and respect—and of providing a complaint mechanism when services fall short of standards.
Strengthening Health Services through Puskesmas Mider
Meanwhile, the Puskesmas Mider program was assessed as helping to bring health services closer to the community through scheduled activities in villages and urban wards. The government stated that Mider activities do not stop the main puskesmas from continuing to provide services. Limited doctor availability is one challenge, as doctors must divide their time between the main puskesmas and Mider activities.
In addition to direct services, the program provides home care for residents who cannot come to the service location, as well as referrals by ambulance, especially in emergencies. The program is also directed toward promotive and preventive efforts through free health checks (Cek Kesehatan Gratis, or CKG). The government reported that Mider activities have overall reached all villages and urban wards, although in the evaluation year 45 villages were the focus of activities.
Community discussion showed that the need for health services remains substantial. The community requested improved availability of medicines, medical equipment, and reagents for tests such as blood sugar, cholesterol, and uric acid. Limited health workers, including doctors and dentists, were also raised. For dental services, for example, initial treatment can be provided through Mider, while certain procedures such as extractions still have to be done at the puskesmas because of the limited number of dentists.
On the other hand, home care and ambulance services received positive attention because they help residents who face barriers in reaching health facilities. The government has also used electronic medical records in 27 puskesmas for about two years. When internet connectivity is disrupted, records are first kept manually and later entered into the system once the network is stable.
The Community Provides Its Assessment
The evaluation results through the LEP showed differing views of the two programs. For PAKSU, 19 of 30 community assessors (63.33 percent) assessed the program as already good and not requiring major changes, while 11 (36.67 percent) considered that improvements are still needed. For Puskesmas Mider, 14 community assessors (46.67 percent) assessed the program as already good, while 16 (53.33 percent) considered that improvements are still required.
These findings provide a basis for retaining aspects of the programs that are working while improving the parts that remain constraints. Follow-up actions formulated include stronger outreach and capacity building for PAKSU operators, strengthened oversight and complaint mechanisms, additional KTP recording facilities, and improved availability of medicines, medical equipment, reagents, and health workers for Puskesmas Mider. The local government is also encouraged to strengthen regular monitoring and evaluation with clear indicators.
The Program Review shows that program evaluation does not stop at government implementation reports, but opens space for the community to assess programs based on their own experience of receiving services.
Community input and the evaluation results can then serve as input for the local government in improving planning, budgeting, service quality, and program sustainability so that benefits are increasingly felt by the community.