Implementation of Program for the Acceleration of Region

Development in the Outer Environment in Medan City

Muhammad Ardian

and Arief Marizki Purba

Faculty of Social and Political Science, Universitas Sumatera Utara, Medan, Indonesia

Keywords: Implementation, Acceleration Development, The Region.

Abstract: This research aims to analyze the implementation of the Medan Outer Ring Acceleration Program in the

Medan Tuntungan District and to find out the supporting and inhibiting factors. The method used is a

descriptive with a qualitative approach. The focus of research determined includes: road construction, health

sector development, education sector development, economic development, supervision, and coordination

among implementers. The results showed that the implementation of the accelerated development program

for the outer ring region in Medan Tuntungan District was effective and was able to add and improve several

facilities and infrastructures. Although the development has not been optimal, the actions taken by the Medan

Tuntungan subdistrict government has brought a better change, and made the atmosphere and environment of

the people safer and more comfortable. Factors that support the development of infrastructure in the District

of Medan Tuntungan include support of all citizens to government policies through proposals submitted to

the Government of Medan City regarding the need for accelerating regional development. Factors hampering

infrastructure development in this subdistrict are the lack of public awareness of the use and maintenance of

infrastructure provided by the government and the limited regional budget for infrastructure development.

1 INTRODUCTION

Before construction is carried out, systematic,

directed and integrated steps called planning are

needed. The existence of planning in a development,

especially in the sphere of government is to realize

the objectives of the state. National development

planning is regulated in Law No. 25 of 2004

concerning the national development planning

system (SPPN). National development is carried out

based on democracy with the principles of

togetherness, justice, sustainability, environmental

insight, and independence by maintaining a balance

of progress and national unity. Development planning

is directed, integrated, comprehensive, and

responsive to change.

In implementing the development planning that

has been made, the central government cannot run

alone, it requires cooperation and coordination with

the regions given the vast geographical area of

Indonesia. Law No. 32 of 2004 concerning regional

government, opened up opportunities for regions to

be able to run regional government independently.

This makes the region more focused in developing the

region in the context of prospering the local

community. Local governments are required to make

regional development plans that are in accordance

with the vision and mission of the elected regional

head and refer to the national development plan. Thus

it is expected that there will be integration, synergy,

and harmonious relations between the central and

regional government plans.

The success of development is the result of

successful planning, the success of regional

autonomy can be seen from development, namely

development from all aspects. Fulfillment of

infrastructure development such as the availability of

access roads with good conditions, can facilitate

social and economic activities and can illustrate how

development in the area. Problems then arise when

there is a development gap between the center and the

region, as well as one region with other regions.

The lack of local government attention to the

condition of the community makes the level of

community welfare in the regions after regional

autonomy not developed because the community only

follows what is instructed by the government without

knowing the benefits and impacts of the results of

activities. The decrease in the level of community

welfare has an impact on increasing unemployment

Ardian, M. and Purba, A.

Implementation of Program for the Acceleration of Region Development in the Outer Environment in Medan City.

DOI: 10.5220/0010013701810190

In Proceedings of the 3rd International Conference on Social and Political Development (ICOSOP 3 2019) - Social Engineering Governance for the People, Technology and Infrastructure in

Revolution Industry 4.0, pages 181-190

ISBN: 978-989-758-472-5

181

that makes the inability to compete in looking for

work, increasing poverty that makes the inability of

people to meet their basic needs of life, and the

inability to participate in government activities.

Acceleration is an effort to accelerate an activity with

a plan that is carried out to improve the quality of life

of the community. The acceleration must be

accompanied by systematic steps to increase

community empowerment so that people do not

return to poverty.

Medan City is one of the major cities in Indonesia

which is also in the spotlight of the government in

terms of its development, be it development in the

social, economic, political, and cultural fields. In its

Development Plan, Medan City has implemented a

Development Acceleration Program that not only

relies on Development in the urban center area, but

also accelerated development in the outer ring

area/outer part of Medan City. This was done in order

to equalize Medan City Development, both in the

social, economic, political and cultural fields.

The acceleration of development in the outer ring

area of Medan City is carried out by the Medan City

Government in order to equalize development in all

Medan city areas, one of which is the Medan Tuntung

District. Medan Tuntung sub-district is one of the

sub-districts in the border area of Medan City and

Deli Serdang Regency. There are several cases of

problems that occur in Medan Tuntung, this can be

seen from some complaints from Medan Tuntung

residents. Medan Tuntung residents complained

about poor road infrastructure, poorly maintained

drainage, as well as clean water channels in their

neighborhood. Regarding the bureaucracy in the

management of KTP, KK, government assistance

related to land certificates and others were also

complained.

The purpose of this study was to describe how the

Implementation of the Medan City Acceleration Area

Development Acceleration Program in the District of

Medan Tuntung and to determine the factors

supporting and inhibiting the acceleration of

development.

2 LITERATURE REVIEW

Implementation comes from English, which is to

implement, which means to implement. In simple

terms implementation can be interpreted as

implementation or application. Browne and

Wildavsky (Usman, 2008: 7) suggest that

"implementation is the expansion of activities that

adjust to each other". Implementation is an action or

implementation of a plan that has been prepared in a

mature and detailed manner. Implementation is

usually done after planning is considered perfect.

According to the opinion of Webster (in Wahab,

2004: 23) Implementation is the provision of means

to carry out something that has an impact or effect on

something. Something that is done to have an impact

or effect can be in the form of laws, government

regulations, judicial decisions and policies made by

government institutions in the life of the state.

According to the opinion of Syaukani (2004),

implementation is a series of activities in order to

deliver policies to the public so that the policies can

bring the expected results. The series of activities

include, Firstly, the preparation of a set of advanced

regulations which are interpretations of the policy.

Second, prepare resources to drive implementation

activities including facilities and infrastructure,

financial resources and of course the determination of

who is responsible for carrying out these policies.

Third, how to deliver policies concretely to the

community.

Surmayadi stated that there were three important

elements in the implementation process, namely: (1)

the existence of a program or policy that was

implemented (2) the target group ie the community

groups that were targeted and determined to receive

benefits from the program, changes or improvements

(3) the implementing element (Implementer) both

organizations and individuals are responsible for

obtaining implementation and oversight of the

implementation process (Sigarlaki, 2017: 67).

The use of the term implementation was first used

by Arold Lawswell (in Purwanto, 2012: 17). As the

scientist who first developed the study of public

policy, Lawswell discussed an approach he called the

Policy Process Approach. According to him, in order

for scientists to get a good understanding of what the

meaning of public policy really is, public policy must

be broken down into several parts as stages, namely:

agenda-setting, formulation, legitimacy,

implementation, evaluation, reformulation and

termination. From this cycle it is clearly seen that

implementation is only part or one of the stages of a

large process of how a public policy is formulated.

As a further process after a program is formulated

in the form of a decision by the actors is how the

program is implemented. Implementation is

interactive from the process of activities that precede

it. This means that the formulation of policies and

their implementation are interrelated with one

another. Based on this understanding, the technical or

management aspects (in an organization) are a means

to realize the goals set in public policy. The process

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182

of implementing a new policy can begin when policy

objectives have been set, implementation programs

have been created, and funds have been allocated for

the achievement of these policy objectives (Herman

et al., 2014).

Meanwhile, van Meter and van Horn (in Winarno,

2002) limit the implementation of policies as actions

taken by individuals or groups of government or

private that are directed to achieve the goals set in the

previous policy decisions . these actions include

efforts for previous policies. These actions include

efforts to convert decisions into operational actions

within a certain period of time as well as in order to

continue efforts to achieve major and minor changes

determined by the decision policy decisions.

Policy Implementation According to Carl. J.

Friedrich public policy is a direction of action

proposed to a person, group, or government in an

environment with obstacles and opportunities, which

are expected to meet and overcome these obstacles in

order to achieve an ideal or realize a will as well as

specific goals.

Put simply according to Koryati et al. (2004)

regarding the implementation of policies can be seen

as a process of implementing policy decisions,

usually in the form of laws, government regulations,

judicial decisions, executive orders, or presidential

instructions. According to the opinion of Wibawa, et

al. (1994), policy implementation is the manifestation

of decisions regarding fundamental policies, usually

contained in a law but.

Development is usually inherent in the context of

the study of a change, development here is defined as

a form of change that is planned; each person or group

of people will certainly expect changes that have a

better shape or even perfect than the previous

situation; to realize this expectation certainly must

require a plan. Development planning is felt more as

a more rational and orderly effort for the development

of undeveloped or newly developing societies.

Development is a process of transformation that

in the course of time is marked by structural changes,

namely changes in the basis of economic activity and

in the economic structure of the community

concerned (Sanusi, 2004). Development According

to the opinion of Kartasasmita, in essence is from and

for all people. Thus, in an effort to achieve the

intended development goals must involve and in turn

be enjoyed by all levels of society. This demand

actually coincides with the concept of sustainable

development (Herman et al., 2014).

Implementation of Infrastructure Development in

the framework of Regional Development

Acceleration can be demonstrated in the form of road

infrastructure development, health infrastructure,

educational infrastructure, and economic

infrastructure (Herman, et al, 2014).

Infrastructure is infrastructure as physical facilities

that are developed or needed by public agencies in

transportation, water supply, electricity, and other

services to facilitate economic and social goals.

The infrastructure system is the main supporter of

social functions and economic systems in people's

daily lives. Infrastructure systems can be defined as

basic facilities or structures, equipment, installations

that are built and needed for the functioning of social

systems and economic systems (Kodoatie, 2003).

Grigg and Fontane (2000) explained that

infrastructure is a physical system that provides

transportation, roads, irrigation or irrigation,

buildings and other public facilities, which are needed

to meet basic human needs both social and economic

needs. This understanding refers to infrastructure as a

system. Where infrastructure in a system are parts in

the form of facilities and infrastructure that are

inseparable from one another. The infrastructure itself

in a system supports the social system and the

economic system as well as being a link with the

environmental system. The availability of

infrastructure has an impact on social systems and

economic systems that exist in the community.

Therefore, infrastructure needs to be understood as

the basis for making policies.

Infrastructure development in a system supports

the activities that exist in a space. Infrastructure is a

container as well as a catalyst in a development. The

availability of infrastructure increases people's access

to resources so that it can increase efficiency and

productivity leading to the economic development of

a region or region. Therefore it is important how the

engineering system and infrastructure management

can be directed to support the economic development

of a region. Infrastructure engineering and

management systems affect the land use system

which ultimately builds an activity.

The government through presidential regulation

number 42 of 2005 concerning the acceleration of

infrastructure provision committees whose provision

is regulated by the government, namely:

transportation infrastructure, road infrastructure,

drinking water and sanitation infrastructure,

electricity infrastructure, telematics infrastructure.

The infrastructure classification above can be

categorized as basic infrastructure Because it is

needed by the wider community, it needs to be

regulated by the government

In Law No. 38 of 2004 stated that the road as a

means of transportation is an important element in

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183

stimulating and anticipating economic growth that

occurs. In agrarian societies, roads are used to market

agricultural products. Whereas the World Bank

(2007) states that incentives for farmers (prices and

inputs) are useless if there are physical obstacles and

high economic costs for transportation of goods.

The development of road infrastructure will also

contribute to the growth of new areas by increasing

the volume of traffic. Poor and poor road

infrastructure will hinder the allocation of resources,

industrial development, distribution of factors of

production, goods and services, which in turn will

affect income. Road infrastructure is very important

for economic and social growth and only roads in

good condition can facilitate this mobility, so this

study for infrastructure indicators uses long lanes in

good condition. This is to illustrate how much

government performance in terms of infrastructure to

facilitate the mobilization of goods / services in order

to improve the welfare of the community.

Road infrastructure as a transportation

infrastructure plays a role in economic growth so that

the production and distribution process will be more

efficient. Poor road infrastructure development will

hamper the allocation of resources, industrial

development, distribution of factors of production,

goods and services, which in turn will affect income.

Ikhsan (2004) stated that:

"The highway will affect variable costs and fixed

costs. If infrastructure must be built by the private

sector, the costs will increase significantly and

cause the cost of entry for an economic activity to

become very expensive so that economic activities

cannot be realized due to lack of infrastructure."

The World Health Organization (WHO) defines

health as a condition of physical, mental and social

well-being, and not merely being free of disease and

physical weakness. Economically, a healthy society

will produce a healthy workforce and is an important

input for economic growth. Countries that have low

levels of health and education face greater challenges

to achieving sustainable growth compared to

countries with better levels of health and education.

According to the opinion of Yuliati (2011), the

level of public health that affects the age of labor

productivity which can affect the output of goods /

services, increase wages and ultimately affect the

welfare of the community. A healthy society will

have an impact on improving the welfare of the

population as a whole. This indicator is also used by

the government as a sub-indicator of regional

potential indicators on the requirements for passing

DOB candidates into DOBs.

Health services through hospitals and health

centers and other health services are expected to

improve the quality of health that reaches the entire

community to achieve equitable health development.

The development of health infrastructure, both in

quantity and quality, will encourage an increase in the

quality of human resources, which is an input factor

for sustainable economic growth (Krismanti, 2009).

The education sector is an important part of public

service. In the National Medium-Term Development

Plan (RPJMN) 2004-2009, it is mentioned that the

problems in the field of education in Indonesia

include education service facilities, especially for

junior secondary and higher levels of education which

are not yet available equally, as well as the

availability of educators that are inadequate both in

quantity and quality. Regional expansion allows the

government to improve the distribution of

educational facilities both at basic and advanced

levels as well as improve the availability of adequate

teaching staff through the role of local government.

With a shorter span of control and a more equitable

fiscal allocation it should be the basis for improving

education services in each region, particularly the

pemekaran region (Bappenas in collaboration with

UNDP, 2007).

There are several reasons why education is very

important in efforts to improve the welfare of society.

First, in a microeconomic perspective, education

increases the human capital inherent in the workforce,

which will increase labor productivity. Secondly,

education will increase the innovation capacity of an

economy, new knowledge of technology will drive

growth. Third, education facilitates and disseminates

the knowledge needed to understand and implement

new information found by others, this encourages

growth (Bappenas, 2007).

Drainage is an arch or water channel on the

surface or under the ground, whether formed

naturally or made in humans in Indonesian, drainage

can refer to trenches on the surface of the ground or

underground sewer drainage plays an important role

to regulate water supply for flood prevention.

Drainage means to drain, drain, dispose, or divert

water. Generally, drainage is defined as a series of

water structures. Which serves to reduce or remove

excess water from an area or land, so that land can be

used optimally. Drainage can also be interpreted as an

effort to control groundwater quality in relation to

sanitation (Suripin, 2004).

In Law Number 26 of 2007 concerning Spatial

Planning, a region is a space that constitutes a

geographical unit and all elements related to it whose

boundaries and systems are determined based on

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administrative and/or functional aspects. According

to the opinion of Rustiadi, Saefulhakim, and Panuju

(2009) a region can be defined as a geographical unit

with certain specific boundaries where the regional

components interact with one another functionally.

So that boundaries are not always physical and exact

but are often dynamic. Regional components include

natural biophysical components, artificial resources

(infrastructure), human and institutional forms. Thus

the term region emphasizes the interaction between

humans and other resources that are within a certain

geographical unit boundaries (Nugroho, 2012: 95).

The concept of the area according to Hagget, Cliff

and Frey (in Rustiadi, et al., 2009) regarding the

typology of the region, classifies the concept of the

region into three categories, namely: 1) homogeneous

region (uniform/ omogenous region), 2) nodal region

(nodal region), and 3) planning area (planning region

or programming region). In line with these

classifications, according to Glason (in Tarigan,

2010) based on the economic progress phase,

classifying regions/regions into:

1. The first phase is the formal area regarding

uniformity/homogeneity. A formal region is a

geographical area that is uniform according to

certain criteria, such as the physical state of

geography, economy, social and politics.

2. The second phase is the functional area with

regard to functional coherence and

interdependence, the interrelationship between

the parts in the region. Sometimes it is also called

the nodal region or polarized region and consists

of heterogeneous units, such as rural cities that

are functionally interrelated.

3. The third phase is the area of planning that shows

the coherence or unity of economic decisions.

3 METHOD

The method used is a descriptive research method

with a qualitative approach. Qualitative research

methods are research procedures that produce

descriptive data in the form of words (can be spoken

for religious, social, cultural, philosophical research),

notes relating to the meaning, value and

understanding of Bogdan and Biklen in Kaelan (2012:

5) .

This form of research consists of a review of the

literature relating to the Implementation of the Medan

Outer Ring Acceleration Program and a field study to

examine the factors that support and inhibit the

Medan Outer Ring Acceleration Area Program, in

this case the Medan Tuntungan District.

The field study is aimed at examining the

implementation of the Medan Outer City

Acceleration Area Development Acceleration

Program, especially in the Medan Tuntungan District,

by identifying issues related to its Community

Empowerment Policy, Community Education

Degrees, Socio-Economic as reviewed by the

Political Perspective of Development.

The focus of the research is the focus of the focus

on the essence of the research to be conducted, so the

focus of the research in this study is the

Implementation of the Infrastructure Development

Acceleration Program in Medan Tuntungan District.

This research was conducted in Medan Tuntungan

District, Medan.

As for the informants in this study consisted of

key informants, namely the Medan Tuntungan

District Head. The main informants, namely Staff/

Apparatus in the Medan District Head Office, and

additional informants, namely Community Leaders.

Data collection techniques used in this study were

Interview, Observation, Literature Study, and

Documentation Study.

The data analysis technique used in this research

is a qualitative data analysis technique. Data analysis

is carried out interactively and continues

continuously until complete, until the data is

saturated. Activities in data analysis after data

collection include data reduction, data display and

data verification (Sugiyono, 2013).

4 RESULTS AND DISCUSSIONS

The model of policy implementation examined by

Merilee S Grindel in Subarsono (2008: 92), sees that

the success of implementation is assessed from two

aspects, namely the Content of Policy or the Context

of Policy or the policy environment. The indicators to

see the success of the policy in terms of the contents

of the policy are (1) The extent to which the interests

of the target groups or target groups contained in the

policy content; (2) the types of benefits received by

the target groups; (3) The extent of desired changes

in a policy: (4) Is the location of a program

appropriate; (5) Whether a policy has specified the

implementor in detail and (6) Whether a program is

supported by adequate resources. While indicators of

the policy environment are seen from: (1) How much

power, interests and strategies possessed by the actors

involved in policy implementation; (2)

Characteristics of institutions and regimes in power;

(3) The level of compliance and responsiveness of the

target group.

Implementation of Program for the Acceleration of Region Development in the Outer Environment in Medan City

185

At the stage of public policy, the implementation

of public policy is an important stage and must be

passed in order to achieve results from a policy.

Public policy implementation is the implementation

or execution of a policy issued by the government in

the form of laws and regulations so that the objectives

of the public policy will be achieved if passed through

the stages of implementation or implementation. At

this stage of implementation, of course variables will

be found that affect the success or failure of a policy

implementation which in other policy

implementations will greatly assist in the

improvement and refinement of the stages of policy

implementation in the future.

In order to expedite the implementation of

government tasks and community activities need to

be supported by adequate infrastructure development.

One of them is the construction of road infrastructure

and facilities. Because with adequate road facilities,

undoubtedly the implementation of government tasks

and community interests can be carried out

effectively. On the other hand it can facilitate the

accessibility of residents in all forms of activities that

involve the life of the community.

Roads are very vital infrastructure to support the

smoothness of transportation facilities as well as

driving the community's economy and as an arterial

pathway for local transportation, because it is proper

for the construction of road and bridge facilities to

receive greater attention, so that people's expectations

for easy access can be realized. In accordance with its

function, the condition of the road greatly influences

the smooth relations between the kelurahans, as well

as between sub-districts.

Based on observers in the field, most of the roads

in the District of Medan Tuntungan have decent or

good conditions. This is also in accordance with a

statement from Mr. Topan Obaja Putra Ginting,

S.STP, MSP as the Head of Medan Tuntungan

District Head who said:

"The condition of road infrastructure in Medan

Tuntungan sub-district is mostly in good condition.

As in Kelurahan Kemenangan Tani, Kelurahan

Mangga, Lau Cih, Simalingkar B. All of the road

conditions I think are good enough. You can check

and see for yourself. But I also can not dismiss that

there are also some roads in the District of Medan

Tuntungan still in unfit conditions. As the Head of

Medan Tuntungan, I always try to coordinate and

make every effort so that our road can be repaired

quickly."

The statement received the same response from

Optima Manalu, S. Sos as Head of Facilities and

Infrastructure of Medan Tuntungan District District

who said that:

"Road Infrastructure, especially those in Medan

Tuntungan, are mostly in good condition. But there

are some roads that are still potholes and are

damaged. His condition is not too bad I think. And

the District Government of Medan Tuntungan will

always continue to improve the construction and

improvement of roads, so that the community can

carry out activities without having to be disturbed

by road damage.”

Both statements received the same response from

Mr. Adi Manik, as Community Leader of Tanjung

Selamat Sub-District, Medan Tuntungan Sub-District

who said that:

"Some of the Roads in Tanjung Selamat are already

pretty good. It can be seen from the road

improvements made which mostly make the roads

in the tanjung Selamat village get better.”

The same statement also emerged from Mr. Manik

Ginting, as the Community Leader of the Victory of

Farmers in the District of Medan Tuntungan said that:

"If the Road in Kelurahan Victory of Farmers is

almost evenly distributed, it is already good. So that

if we walk by vehicle it feels that way ... I see that in

this Kelurahan the road is quite good. Good asphalt

average."

Based on these statements, it can be explained that

most of the roads in the Medan Tuntungan sub-

district are in relatively good condition. So that the

road that is always used by the community as a means

of support in community life activities is much more

comfortable to pass, both for walking users and users

of motorized vehicles or cars.

Policies or programs in terms of construction or

improvement of road infrastructure continue to be

carried out by the Medan Tuntungan District

government in order to improve services to the

community. Based on the above conclusions, the

theoretical implications according to Abdul Wahab

(1997) and also Mazmanian Sabatier (1981) have

been realized according to those stipulated in public

policy, namely the policy implementation process

begins when the policy objectives have been

determined, the implementation programs have been

created, and funds have been allocated for the

achievement of these policy objectives.

Education is one of the government programs that

must be continuously improved because bearing in

mind that the success of development that is being

and will continue to be carried out cannot be

separated from the influence of the quality of human

resources, both within the government body and the

community itself. Infrastructure development in the

field of education is the policy of the Medan City

Government as set out in the Regional Medium-Term

Program Plan (RPJMD) for 2016 – 2021. Serious

attention by the Medan City Government is not only

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on building construction, teaching facilities, but also

the quality of teaching staff/teachers in order to

produce quality education.

The existence of the development of educational

infrastructure aims to strive for students in the area of

Medan Tuntungan District to get the widest

opportunity to attend quality education and teaching,

so that the development of educational infrastructure

is directed to build and complement existing

educational facilities. Also supported by efforts to

increase the number of teachers, both PNS and

Honorary status because without the support of

teaching staff, it will hamper the teaching and

learning process, so that the existence of

infrastructure development in the field of education

receives great attention in creating quality human

resources and increasing the expected teaching

qualifications in advancing education in Medan

Tuntungan District.

Medan Tuntungan Subdistrict is a Subdistrict that

has adequate educational facilities or infrastructure.

This can be seen from various schoolS; PAUD, TK,

SD, SMP, SMA, and academy/campus located in the

district of Medan Tuntungan District.

School is a very important thing for human life. In

the absence of schools, the quality of education in

Indonesia is disrupted. School is an institution that is

used for learning activities for educators and is a place

to give and receive lessons in accordance with their

fields. Schools become one of the places to educate

children with the intention to provide the knowledge

provided so that they are able to become useful

humans for the nation and also the country.

Facilities and infrastructure are one of the

necessary and very important educational resources

that are well managed and are an inseparable part of

education management. Such as buildings, land,

administrative equipment to the facilities used

directly in the teaching and learning process in class.

Educational facilities and infrastructure as well as one

of the elements of educational management that has

an important role in the teaching and learning process,

educational facilities are things that should not be

ignored. Educational facilities and infrastructure are

also used to facilitate students' understanding of the

material delivered by using appropriate educational

facilities and infrastructure in teaching and learning

programs to be more effective and efficient. With the

facilities and infrastructure

Simply according to Lineberry's theory that the

implementation process includes all actions between

the policy statement (formulation) and its actual

impact. The implementation process has elements to

define implementation responsibilities, describe

objectives, coordinate resources and allocate

resources for impact perfection or to achieve goals.

The development of health infrastructure has an

important position to support the implementation of

an effective government, because with adequate

health infrastructure the health of the organizers of

the state/government and the community will be

guaranteed. Therefore it is fitting if it gets more

attention from the government. so that the level of

public health and state/government administrators

can carry out their duties more effectively. However

the development of health infrastructure is very

urgent to improve public health. Because it is

appropriate if health infrastructure is built according

to the needs of the community so that it can be

accessed easily, cheaply and with quality.

Health infrastructure that we have known include

Public Hospitals, Community Health Centers,

Supporting Community Health Centers, and Clinics.

Medan Tuntungan Subdistrict has several health

infrastructures, among them the UPT Puskesmas

Tuntungan located in the Victory of Farmers.

UPT Puskesmas Tuntungan is a health

infrastructure in Medan Tuntungan District. This

facility is often used by the Tuntungan community for

medical check-ups or medical treatment. This is in

accordance with a statement from Mr. Topan Obaja

Putra Ginting, S.STP, MSP as the Head of Medan

Tuntungan District Head who said:

“Puskesmas Tuntungan is a health facility owned

by Medan Tuntungan District. I judge the

Puskesmas Tuntungan to have adequate

infrastructure. Health services provided by

Puskesmas Tuntungan to the Tuntungan

community have been very good. As the Camat, I

continue to coordinate with the Mayor through the

Department of Health to always pay attention to

development in the field of health through good

health services and the development of adequate

health facilities.”

This is in accordance with the statement of Mr.

Manik Ginting as a community leader of Medan

Tuntungan Ministry of Victory of Farms that said:

“Health services provided by employees or medical

staff at the Puskesmas Tuntungan I think are very

good. Lots of people use this health facility.

Whether it's for checking health conditions,

treatment, child immunization, etc. This is always

done at the Tuntungan Health Center.”

Based on these statements, it can be explained that

the Puskesmas Tuntungan really provided good

health services. In addition, the health facilities are

sufficient. Existing infrastructure in the UPT

Puskesmas Tuntungan is good enough.

The existence of infrastructure development in the

health sector shows that infrastructure is available,

Implementation of Program for the Acceleration of Region Development in the Outer Environment in Medan City

187

but it is still a bit lacking accompanied by facilities

and medical personnel who are competent in their

respective fields. The sub-district government has

coordinated with the vertical agencies in charge

related to the limited resources of the apparatus each

year in finding solutions related to problems faced to

equip technical personnel. With this good

coordination, it contributes to support the smooth

running of health services to the community in Medan

Tuntungan District.

Development in the economic field in the context

of achieving the level of community welfare is always

continuously improved. Economic development is

not only by creating a regulatory system that regulates

economic centers and trade is carried out, but also

must be supported by the availability of an economic

infrastructure that is able to support the trade process

itself, especially in society so that the community's

economy can be carried out as well as possible.

Realizing that the development of economic

facilities is very much needed by the community and

economic actors in their area, the Medan Tuntungan

District Government has outlined a formulation in a

work program in creating economic and trade centers

as well as traditional markets that are able to increase

people's economic activities. This emphasis on

shifting centers or markets is because it is terrorically

stated that the existence of trade or market centers

will be able to invite the gathering of trade and

industrial businesses, as well as a variety of

commodities, so that the market will become a

growing economic center.

Based on field observations conducted by

researchers showed that the traditional market

conditions in the Mangga Village are very good.

Economic infrastructure development by the Medan

Tuntungan District Government has been very good.

This is evidenced by the supervision or construction

of market infrastructure that is always done.

Comfortable traditional markets will certainly be able

to improve the economy and income of the people of

Medan Tuntungan District. Rows of shopping

buildings that are also in the Mango Village show that

there is an increase in development in terms of

economic support infrastructure.

In addition to shopping buildings, in Medan

Tuntungan District there are also many people who

open shops or are usually called stalls or stalls in

which sell groceries and some other merchandise

needed by the community in general.

The existence of this infrastructure development

has enormous benefits for the community in

empowering the community's economy. It also shows

that the implementation of economic infrastructure is

going well in terms of bottom-up planning and is a

tangible manifestation in accordance with the vision

of Medan Tuntungan District in order to realize

excellent, professional and credible service towards

the field of fortune that is serving, friendly, beautiful,

safe, and harmonious (MeRIAH).

Factors that support the acceleration of

development in the District of Medan Tuntungan

include:

1) Support of all citizens towards government

policies through proposals submitted to the City

Government regarding the need for infrastructure

development in the District of Medan Tuntung, in

the context of accelerating regional development.

2) The ability of the Medan Tuntung District Head

to approach the leadership of the vertical

organization of the City Government and

coordinate with several leaders of related

institutions

3) Law Number 33 of 2004 concerning financial

balance between the central government and

regional governments. Based on the policy,

Medan City can carry out infrastructure

development in various sub-districts, including

Medan Tuntung Sub-District in the framework of

equitable regional development.

4) A safe and harmonious condition of the

community environment so that infrastructure

development in the District of Medan Tuntung

can be carried out properly.

Factors that hinder the acceleration of

development in the District of Medan Tuntungan

include:

1) Lack of public awareness of the use and

maintenance of infrastructure provided by the

government, so that conditions are easily

damaged. Such as the use of vehicles that have a

burden that exceeds the maximum transport limit.

2) Limited regional budget for infrastructure

development such as road construction,

education, health and the economic sector, so that

accelerated regional development cannot be

actualized.

The funding factor is often late so that

development projects are often stalled so that they

do not reach the time target of the development.

5 CONCLUSIONS AND

RECOMMENDATIONS

Based on the results of research conducted with

the title “Implementation Of Program For The

ICOSOP 3 2019 - International Conference on Social Political Development (ICOSOP) 3

188

Acceleration Of Region Development In The Outer

Environment In Medan City” it can be concluded that

the existence of infrastructure development in the

Medan Tuntungan District of Medan is implemented

quite effectively and is able to add and improve some

facilities and infrastructure, not only road

infrastructure, health infrastructure, educational

infrastructure, but also increase economic

infrastructure. Although the infrastructure

development carried out in the Medan Tuntungan

sub-district area has not been optimal, the actions

taken by the Medan Tuntungan sub-district

government have brought a better change, and made

the atmosphere and environment of the people safer

and more comfortable. Factors that support

infrastructure development in Medan Tuntungan

Subdistrict include the support of all citizens towards

government policies through proposals submitted to

the City Government regarding the need for

infrastructure development in Medan Tuntungan

Subdistrict, in the context of accelerating regional

development, the ability of the Medan Tuntungan

District Head to approach the leadership of the

organization. vertical of the City government and

coordination with several related institutional leaders,

Law Number 33 of 2004 concerning financial balance

between the central government and regional

governments and the safe and harmonious condition

of the community environment so that infrastructure

development in the Medan Tuntungan District can be

carried out properly. Factors that hamper

infrastructure development in Medan Tuntungan

Subdistrict are the lack of public awareness of the use

and maintenance of infrastructure provided by the

government, so that conditions are easily damaged.

Such as the use of vehicles that have a burden that

exceeds the maximum transport limit, the limited

regional budget for infrastructure development such

as road construction, education, health and the

economic sector, so that the acceleration of regional

development cannot be actualized, and funding

factors are often late so often projects development

stalled so that it does not reach the target time of the

development.

Based on the results of research that has been

done, the suggestion from the author is that the people

of Medan Tuntungan District must be more aware of

the use and maintenance of infrastructure that has

been provided and built by the government. So that

the infrastructure that has been built can have good

conditions. Such as the use of vehicles that have a

burden that exceeds the maximum transport limit.

And the budget allocated for development can be

increased, so that the acceleration of development can

be realized properly.

ACKNOWLEDGEMENTS

Thank you to the Research Institute of the Universitas

Sumatera Utara with the Contract Number: 4167 /

UN5.1.R / PPM / 2019, dated April 1, 2019 for

providing research funding so that this research can

be carried out and published.

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