Abstract: The implementation of special autonomy for Papua Province since 2001 until the year 2014 has been entered into 13. The implementation of special autonomy in Papua have bring a lot of change and progress for indigenous Papuans in various development sectors such as health. However, the implementation of special autonomy in Papua still reap a lot of criticism, one of which is indigenous Papuan community dissatisfaction against the implementation of various development programs and activities funded by the local government of the special autonomy funds, such as missing the target and uneven in its implementation. Therefore, accountability is required to provide an explanation for what has been done by the bureaucracy.