The aims of the research are to find out (1) the implementation of health operational assistance (BOK) at Bekasi City Health Center, (2) the size and objectives of the policy, (3) implementation of coverage programs for obstetric complications management, (4) the availability of human resources, (5) implementation disposition and (6) social, economic and political environment that affect the implementation of health operational assistance (BOK) with coverage of obstetric complications management in the Bekasi City Health Center in 2019. Research variables include human resources, budget, guidelines, facilities, planning, implementation, monitoring and evaluation. The sample involved in implemention of health operational assistance (BOK) with coverage of obstetric complications management in the Bekasi City Health Center consisted of 9 respondents. The results of the research revealed that budget planning was in accordance with technical guidelines, human resource policies were inadequate, the amount of funds was sufficient and the accountability process needed 2 supervision and simplification of reporting. At the level of achievement of the obstetric complications management program, service coverage has increased, but there are some services that do not meet the Minimum Service Standards (MSS) targets.