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The purpose of this study was to analyze the implementation of the Internal Quality Assurance System in the Ministry of Healths Midwifery Department in Medan using the theory of G.Edward C.III. The research method used is using a policy analysis model according to George C. Edward. The procedure of this study contains steps: instrument preparation, data collection, data analysis, and report collection. The research subjects were informants whose activities were directly related to quality assurance in the Medan Midwifery Department Midwifery Department. The method of data collection is done by interview. From the results of the study found: a) the form of communication in the implementation of the Quality Assurance System policy has been running effectively support, c) The disposition of assistance has gone well, d) Bureaucracy to support implementation has provided a clear SOP (Standard Operating Procedure).