Background:The transformation of public service governance towards a human-centered approach is becoming
increasingly important in addressing the complexity of health systems in regions with limited institutional capacity.
This study aims to analyze the implementation and internalization of four Human-Centred Governance (HCG)
principles: relational, network, interactive, and reflective, in health service governance in Jeneponto Regency,
Indonesia.
Materials and Methods: A qualitative approach with an exploratory design was used to explore the dynamics of
HCG implementation at the institutional and service practice levels. Data were obtained through in-depth interviews
with 24 key informants, participant observation in health facilities, and analysis of various policy documents, planning documents, and community satisfaction surveys. Thematic analysis was used to identify patterns of HCG
implementation and their interactions within the governance process.
Result: The results indicate that the implementation of HCG principles is not simultaneous and exhibits imbalances
between the structural and reflective dimensions. Relational and network principles have received strong normative
and institutional support, while interactive and reflective principles remain limited in development, characterized by
uneven community participation and low analytical capacity. Although internal discussion forums and feedback
mechanisms have emerged as embryonic reflection cycles, these processes have not been systemically integrated. This
study contributes by demonstrating the importance of a phased strategy and strengthening institutional capacity in
implementing HCG principles to realize adaptive and human-centered health governance.
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