JIHHAM

Article Details

Vol. 6 No. 1 (2026): Juli

Articles

Legal Analysis of the Role of the Aceh Government in Optimizing Health Provision in Aceh

A Amzar Ardiyansyah N Nazaruddin Nazaruddin A Al Muttaqien U Usman Boini T T Yasman Saputra
Abstract

Purpose: Law Number 11 of 2006 concerning the Governance of Aceh mandates the responsibility of providing healthcare facilities to the Aceh Government. This study aims to determine the effectiveness of the Aceh Government’s healthcare infrastructure provision based on this legal framework.

Research Methodology: Normative legal research using a regulatory and conceptual approach. Secondary data, consisting of primary, secondary, and tertiary legal materials, were qualitatively analyzed through document studies, literature, scientific journals, and related regulations.

Results: The Aceh Government’s provision of health services is regulated by Article 183 of the Aceh Government Law in conjunction with Article 66 and Article 22 of the Qanun on Health, which constitutes asymmetric decentralization under Article 18A paragraph (1) of the 1945 Constitution. Health supervision is necessary through programs agreed upon by the executive and legislative branches of the government.

Conclusions: The Aceh Government has attempted to maximize its authority through cross-sectoral collaboration to improve service quality. However, strengthening legal instruments, establishing stricter service standards, and revising Aceh Qanun Number 4 of 2010 concerning health are needed to ensure optimal service delivery.

Limitations: Time constraints and difficulty in meeting respondents and informants in person.

Contributions: This study provides a novel approach to legal reconstruction for special-autonomy-based health governance. The results contribute to strategic recommendations for the Aceh Government in reforming health sector policies. A limitation of this research lies in the focus of the analysis, which relies on normative data owing to the limited accessibility of direct field data.

Keywords: Asymmetric Autonomy Aceh Government Health Qanun Health Services Normative Law
How to Cite
Ardiyansyah, A. ., Nazaruddin, N., Muttaqien, A. ., Boini, U. ., & Saputra, T. Y. (2026). Legal Analysis of the Role of the Aceh Government in Optimizing Health Provision in Aceh. Jurnal Ilmiah Hukum Dan Hak Asasi Manusia, 6(1), 191–203. https://doi.org/10.35912/jihham.v6i1.6344
References
  1. Afolabi, O. F., Ugwu, C. N., Eze, C. O., Serges-Anthanase, D. F., Onwuchekwa, C. O., & Ude, M. A. (2021). Quality of health care in resource limited settings-patients’ satisfaction survey at a mission hospital in South East, Nigeria. Open Journal of Internal Medicine, 11(4), 201-209. doi:https://doi.org/10.4236/ojim.2021.114016
  2. Alfiyan, A., & Rinova, D. (2024). Policy on environmental law reform in the context of environmental preservation in Bandar Lampung City. Jurnal Ilmiah Hukum dan Hak Asasi Manusia, 4(1), 27-33. doi:https://doi.org/10.35912/jihham.v4i1.3208
  3. Andika, F., Afriza, N., Husna, A., Rahmi, N., & Safitri, F. (2022). Edukasi tentang isu permasalahan kesehatan di Indonesia bersama calon tenaga kesehatan masyarakat Provinsi Aceh. Jurnal Pengabdian Kepada Masyarakat Bidang Kesehatan, 4(1), 39-44. doi:https://doi.org/10.60145/jdss.v1i3.67
  4. Ardiyansyah, A. (2021). Ardiyansyah, Amzar. (2021). Authority to Determine Prospective DPR Member Candidates in Aceh. PeNA, Banda Aceh. Banda Aceh: PeNA.
  5. Ardiyansyah, A., Muttaqien, A., Saputra, T. Y., & Mahdi, U. (2025). Runtuhnya ketatanegaraan dan krisis demokrasi: korupsi dan pudarnya keadilan. Locus Journal of Academic Literature Review, 4(7), 506-514. doi:https://doi.org/10.56128/ljoalr.v4i7.593
  6. Ardiyansyah, A., & Nazaruddin, N. (2024). Kewenangan otonomi khusus pemerintah aceh dalam pembangunan dan peningkatan kesejahteraan rakyat (Special autonomy authority of the aceh government in development and improving people's welfare). Jurnal Ilmiah Hukum dan Hak Asasi Manusia/Vol, 3(2), 75-83. doi:https://doi.org/10.35912/jihham.v3i2.2678
  7. DPRA. (2022). Hasil sidak komisi V DPRA. Retrieved from Banda Aceh
  8. Haq, A. U., Guite, L. S., Bharti, S., Kanga, S., Mushtaq, F., Farooq, M., Singh, S. K. (2025). Geospatial investigation of healthcare infrastructure disparities in Bathinda district of Punjab, India. Discover Geoscience, 3(1), 135. doi:https://doi.org/10.1007/s44288-025-00250-2
  9. Januar, E., & Marziah, A. (2019). Tantangan pemerintah aceh dalam mengimplementasi Undang-Undang Pemerintah Aceh (UUPA). Al-Ijtimai: International Journal of Government and Social Science, 4(2), 195-212. doi:https://doi.org/10.22373/jai.v4i2.457
  10. Lim, M. Y., Kamaruzaman, H. F., Wu, O., & Geue, C. (2023). Health financing challenges in southeast asian countries for universal health coverage: A systematic review. Archives of Public Health, 81(1), 148. doi:https://doi.org/10.1186/s13690-023-01159-3
  11. Marks, I. H., Thomas, H., Bakhet, M., & Fitzgerald, E. (2019). Medical equipment donation in low-resource settings: A review of the literature and guidelines for surgery and anaesthesia in low-income and middle-income countries. BMJ global health, 4(5), 1-9. doi:https://doi.org/10.1136/bmjgh-2019-001785
  12. Mertokusumo, S. (1993). Chapters on the Discovery of Law. Bandung. Citra Aditya Bakti. Bandung: Citra Aditya Bakti.
  13. Mirzoev, T., & Kane, S. (2018). Key strategies to improve systems for managing patient complaints within health facilities–what can we learn from the existing literature? Global Health Action, 11(1), 1458938. doi:https://doi.org/10.1080/16549716.2018.1458938
  14. Mukti, F. M. d. Y., Ahmad. (2010). Dualisme Penelitian Hukum: Normatif dan Empiris. Jakarta. Pustaka Pelajar. Jakarta: Pustaka Pelajar.
  15. Nursyamsi, F. (2015). Pengawasan peraturan daerah pada Undang-Undang Nomor 23 Tahun 2014 tentang Pemerintahan Daerah. Padjadjaran Jurnal Ilmu Hukum (Journal of Law), 2(3), 7. doi:https://doi.org/10.22304/pjih.v2n3.a6
  16. Oliveira, R., Santinha, G., & Sá Marques, T. (2023). The impacts of health decentralization on equity, efficiency, and effectiveness: A scoping review. Sustainability, 16(1), 386. doi:https://doi.org/10.3390/su16010386
  17. Pratiwi, A. B., Setiyaningsih, H., Kok, M. O., Hoekstra, T., Mukti, A. G., & Pisani, E. (2021). Is Indonesia achieving universal health coverage? secondary analysis of national data on insurance coverage, health spending and service availability. BMJ open, 11(10), 1-11. doi:https://doi.org/10.1136/bmjopen-2021-050565
  18. Purnama, E. (2020). Kewajiban pemerintah aceh dalam penyediaan fasilitas pemberian Asi di ruang publik: pengalaman kota Banda Aceh. Media Syari'ah, 21(1), 90. doi:https://doi.org/10.22373/jms.v21i1.4570
  19. Putra, I., & Lubis, A. F. (2024). Decentralisation and Constitutional Law in Indonesia: Balancing Regional Autonomy and National Unity. West Science Law and Human Rights, 2, 175-181. doi:https://doi.org/10.58812/wslhr.v2i02.1169
  20. Ranabhat, C. L., Acharya, S. P., Adhikari, C., & Kim, C.-B. (2023). Universal health coverage evolution, ongoing trend, and future challenge: A conceptual and historical policy review. Frontiers in public health, 11, 1-11. doi:https://doi.org/10.3389/fpubh.2023.1041459
  21. Sadiyah, F. (2025). Criticism and Hadis Explanation on Ability to Fight Invaders in MUI Fatwa No 83 of 2023. Jurnal Ilmiah Hukum dan Hak Asasi Manusia, 5(1), 1-8. doi:https://doi.org/10.35912/jihham.v5i1.3696
  22. Saikat, S., Seifeldin, R., Zhang, Y., Nweje, M., Shivji, S., Schmets, G., Selbie, D. (2025). Governance for public health across health and allied sectors: A Scoping review. BMJ Public Health, 3(2), 1-11. doi:https://doi.org/10.1136/bmjph-2025-003542
  23. Salsabila, F. (2024). Analysis of default in the implementation of the aceh health insurance program agreement. Jurnal Geuthèë: Penelitian Multidisiplin, 7(2), 117-128. doi:https://doi.org/10.52626/jg.v7i2.343
  24. Schneider, M. T., Chang, A. Y., Crosby, S. W., Gloyd, S., Harle, A. C., Lim, S., Su, Y. (2021). Trends and outcomes in primary health care expenditures in low-income and middle-income countries, 2000–2017. BMJ global health, 6(8). doi:https://doi.org/10.1136/bmjgh-2021-005798
  25. Sejati, W., & Kurniawan, A. (2025). The relationship between community health center accreditation and the quality of health services in the community: A mini review. Indonesian Journal Of Global Health Research: Global Health Science Group, 7(1), 693-702. doi:https://doi.org/10.37287/ijghr.v7i1.4481
  26. Setiyono, B. (2018). Perlunya revitalisasi kebijakan jaminan kesehatan di Indonesia. Politika: Jurnal Ilmu Politik, 9(2), 38-60. doi:https://doi.org/10.14710/politika.9.2.2018.38-60
  27. Suharno, S. (2021). Aceh's special autonomy in the perspective of asymmetric decentralization policies. Jurnal Civics: Media Kajian Kewarganegaraan, 18(2), 276-285. doi:https://doi.org/10.21831/jc.v18i2.43607
  28. Suteki, G. T. (2022). Suteki and Galang Taufani, (2022). Metode Penelitian Hukum: Filsafat, Teori dan Praktek, Ed 1 Cet Ke 4. Depok, Rajawali Pers. Depok: Rajawali Pers.
  29. Syam, A. B. (2023). Performance of people representative supervision of basic health services in sinjai regency. International Journal Papier Public Review, 4(4), 8-27. doi:https://doi.org/10.47667/ijppr.v4i4.250
  30. Udensi, C. G., Vunnava, R., & Durojaye, T. J. (2025). Interdisciplinary collaboration in healthcare management: Strengthening healthcare delivery?a review. International Journal of Advanced Multidisciplinary Research and Studies, 5(5), 210-216. doi:https://doi.org/10.62225/2583049x.2025.5.5.4881
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