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"ABSTRAKPenetapan kebijakan Doi Moi di Vietnam merupakan langkah awal dari Partai Komunis Vietnam untuk menaikkan perekonomian negara. Hal tersebut dilakukan dengan cara mengubah sistem perekonomian sentralistik menjadi desentralistik dan membuka liberalisasi perdagangan. Penerapan Doi Moi tidak hanya berdampak pada sektor ekonomi, namun juga pada sektor kesehatan yang ditunjukan dengan adanya ketidakmerataan akses terhadap layanan kesehatan. Pemerintah selanjutnya mengeluarkan Dekrit 43 Tahun 2006 mengenai otonomisasi badan usaha publik, termasuk rumah sakit. Kebijakan tersebut diharapkan berfungsi sebagai solusi atas permasalan layanan kesehatan pada saat itu. Penulisan ini akan menganalisis implementasi Dekrit 43 tahun 2006 dengan menggunakan pendekatan kualitatif serta teori implementasi kebijakan publik yang digagas oleh Daniel A. Mazmanian dan Paul A. Sabatier. Hasil dari temuan penelitian ini adalah pemberian otonomi tersebut dianggap tidak berhasil karena masih terdapat komersialisasi layanan kesehatan, sehingga menyebabkan ketidakmerataan layanan kesehatan.

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ABSTRACTThe implementation of Doi Moi`s policy in Vietnam is the first step of the Communist Party of Vietnam to raise the country`s economy, by transforming the centralized economic system into a decentralized system and opening trade liberalization. The implementation of Doi Moi not only affects the economic sector, but also the health sector as indicated by the inequity of access to the health services. The government subsequently issued Decree 43 of 2006 about the autonomization of public business entities including hospitals. The policy is expected to work as a solution to health care problems at the time. However, after the policy is running, there is still commercialization of health services, so that the implementation of health care policy fails. Based on the problems, this paper will analyze the implementation of Decree 43 of 2006, using a qualitative approach and the theory of public policy implementation created by Daniel A. Mazmanian and Paul A. Sabatier. The finding of this study is that the provision of autonomization towards public health care is unsuccessful. Considering after the implementation of the policy, the commercialization of health services is still there, causing an inequality of health services."

"Objectives of the study are : (a) analysis of effectiveness of implementation of Raskin Program in the year of 2007, (b) analysis of poor families (RTM)'s perception on the perspective of increasing normative price of raskin, and (c) formulation of recommendation for more effective implementation of the Raskin rogram. The study reveals that the program is less effective. In all study areas, RTMs paid a much higher price for raskin that its normative rice quota (10 Kgs/RTM/month) It is also found that RTMs were willing to pay if the government increased the normative price of raskin . However , their willingness to pay is subject to two conditions, namely (a) the newly-established normative price is the price at RTMs hose and (b) monthly quota is raised to 20 Kgs/RTM/month as previously. To make the program more effective, this study recommends the government to develop a village - level system control for the Raskin program , to raise monthly rice quota of RTM and its normative price and to share the program's cost with distric-level governments."