Analysis of the Form Adaptation of Detention Centers in the DKI Jakarta Area in Providing Detention Services to Presidential Instruction No. 1 of 2025

Abstrak

Presidential Instruction No. 1 of 2025 on budget efficiency significantly affects public services, including healthcare in State Prisons (Rutan) in the DKI Jakarta area. This study analyzes how Rutan adapts to maintain healthcare quality amid financial constraints. Using a descriptive qualitative approach—through interviews, observations, and document studies—key informants include the Head of Detention Center, clinic officers, and inmates. Findings reveal that budget cuts hinder the procurement of medicines, medical equipment, and health worker training. However, services persist through adaptation strategies such as bulk procurement, use of generic drugs, and cross-sector collaboration with health centers and hospitals. The adaptive leadership of the Head of Rutan plays a crucial role by prioritizing needs and fostering innovation. Despite facility limitations, medical personnel rotation, health block services, and referrals remain operational. Some officers also demonstrate empathy by providing personal support to inmates. An analysis using Kurt Lewin’s change theory identifies three phases: unfreeze (realizing the need for change), change (implementing adaptation), and freeze (establishing new norms). SERVQUAL analysis shows the tangible aspects are limited, but reliability, responsiveness, assurance, and empathy remain intact, ensuring continued inmate satisfaction. Thus, adaptation in Rutan goes beyond technical fixes—it represents a cultural shift towards more humane, collaborative, and flexible service delivery. The study highlights that budget efficiency must not compromise inmates' fundamental health rights, and emphasizes the importance of strategic management and adaptive leadership to sustain essential services.