DOI: https://doi.org/10.14710/gp.11.1.2026.115-128

Mapping Collaborative Governance Strategies for Regional Health Policy Sustainability: A Systematic Review Based on Socioeconomic Data Integration in Pursuit of Universal Health Coverage in Gorontalo

*Afriyani Katili  -  Public Administration, Postgraduate, State University of Gorontalo, Indonesia|State University of Gorontalo, Indonesia
Asna Aneta  -  Public Administration, Postgraduate, State University of Gorontalo, Indonesia|State University of Gorontalo, Indonesia
Yanti Aneta  -  Public Administration, Postgraduate, State University of Gorontalo, Indonesia|State University of Gorontalo, Indonesia

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Abstract

This study aims to systematically review the implementation of collaborative governance strategies in regional health policy, with a particular focus on integrating socioeconomic data to support Universal Health Coverage (UHC). The province of Gorontalo, Indonesia, is highlighted as a reflective case of underrepresented contexts in global health governance literature.

A systematic literature review (SLR) was conducted following the PRISMA 2020 protocol. Forty-five peer-reviewed articles published between 2000 and 2025 were identified through Scopus, PubMed, ScienceDirect, and Google Scholar. Inclusion criteria emphasize empirical studies on regional health governance, socioeconomic data utilization, and multi-actor collaboration. Data were analyzed using thematic synthesis (Thomas & Harden, 2008), supported by coding reliability checks and the CASP qualitative appraisal tool to ensure rigor and validity.

The analysis revealed three dominant themes: actor fragmentation and mandate asymmetry, partial integration of socioeconomic data into decision-making, and facilitative leadership as a critical success factor. While Latin America demonstrated advanced data integration supported by strong regulation, Southeast Asia and Sub-Saharan Africa demonstrated collaborative practices rooted in trust-building but hindered by limited institutional interoperability. In Gorontalo, strategies remain experimental, relying heavily on health-sector data while neglecting poverty, education, and demographic indicators. This highlights the absence of a comprehensive framework bridging local data ecosystems with collaborative policy design.

This review identifies a persistent gap in data-integrated collaborative governance within regional health policy, particularly in marginalized contexts. The study proposes the Integrated Collaborative Governance Framework for UHC Realization, emphasizing trust-building, leadership, and local cultural values (eg, huyula) as essential drivers. The findings enrich collaborative governance theory while offering practical insights for strengthening UHC-oriented health policies in Indonesia and the Global South.

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Mapping Collaborative Governance Strategies for Regional Health Policy Sustainability: A Systematic Review Based on Socioeconomic Data Integration in Pursuit of Universal Health Coverage in Gorontalo
Subject Collaborative governance; health policy; economic integration; Universal Health Coverage; PRISM; Gorontalo
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Keywords: Collaborative governance; health policy; economic integration; Universal Health Coverage; PRISM; Gorontalo

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Section: Articles
Language : EN
Most cited articles
KAJIAN MITIGASI BENCANA TANAH LONGSOR DI KABUPATEN BANJARNEGARA More cited articles
  1. Afandi, MN "Collaborative governance in a mandated setting." Journal of Public Policy & Administration, 2023. DOI: 10.1080/21665095.2023.2212868
  2. Muntalima, N.C., Silumbwe, A., Zulu, J.M., et al. "Collaborative governance of an integrated system for collecting contributions for social health insurance, pensions, and taxes from the informal sector." BMC Health Services Research, 2024. DOI: 10.1186/s12913-024-11634-4
  3. Belrhiti, Z. et al. “Unraveling collaborative governance dynamics within health policy.” Health Policy and Planning, 2024. DOI: 10.1093/heapol/czae005
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  8. Nasirin, C. “Collaborative Governance of Public Health.” Journal of Ethics, Culture, and Society, 2023. (DOI can be traced from the official version)
  9. (JSTOR source) Nasirin, C. “Collaborative Governance of Public Health: A Cultural and …” (indexed journal version) DOI: 10.1016/j.imu.2021.100590
  10. “Institutional Revitalization: Synchronizing Local Legislative – Government in Gorontalo.” Proceedings IAPA 2024. DOI: 10.30589/proceedings.2024.1120
  11. "The Capability of Local Government for Development Planning Program in the Perspective of Collaborative Governance: Case Study on Gorontalo Regency, Indonesia." JPSP (Journal of Public & Social Policy). (Need to check the DOI of the final version)
  12. “Tourism Development Policy in Tomini Bay Area, Gorontalo: Collaborative Governance Process.” KNE Social (doe collaborative policy implementation studies) — the official journal version can include a DOI
  13. "Determinants Analysis of Collaborative Governance in Biological Threat Management in Indonesia." E-International Journal of Administrative Development, 2025. (PDF) DOI listed in the article
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  15. Bryson, JM, Crosby, BC, & Stone, MM “The design and implementation of cross-sector collaborations: Propositions from the literature.” Public Administration Review, 2006. DOI: 10.1111/j.1540-6210.2006.00665.x
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  17. Bryson, J.M., et al. “Public value creation by cross-sector collaborations: A typology and theoretical framework.” Public Administration Review, 2015. DOI: 10.1111/puar.12321
  18. Bekker, M.P.M., Mays, N., Helderman, J.K., et al. “Comparative Institutional Analysis for Public Health: Governing Voluntary Collaborative Agreements in England and the Netherlands.” European Journal of Public Health, 2018. DOI: 10.1093/eurpub/cky158
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