Universal health coverage in Indonesia: concept, progress, and challenges

Agustina, Rina; Dartanto, Teguh; Sitompul, Ratna; Suparmi, Suparmi; Achadi, Endang; Taher, Akmal; Wirawan, Fadila; Sungkar, Saleha; Sudarmono, Pratiwi; Shankar, Anuraj H.; Thabrany, Hasbullah; Susiloretni, Kun Aristiati; Soewondo, Prastuti; Ahmad, Sitti Airiza; Kurniawan, Muhammad Faozi; Hidayat, Budi; Pardede, Donald; Mundiharno,; Nelwan, Erni Juwita; Lupita, Okky; Setyawan, Ery; Nurwahyuni, Atik; Martiningsih, Dwi; Khusun, Helda

doi:10.1016/s0140-6736(18)31647-7

Cited by 373 publications

(451 citation statements)

References 23 publications

Supporting

Mentioning

422

Contrasting

Unclassified

Order By: Relevance

“…Women who do not have health insurance have lower ANC utilization. This finding is in line with the goal of the National Health Insurance released by the Indonesian government to provide universal access to health care facilities [49,50]. Social insurance policies to increase public access to health care facilities have also been adopted by other countries.…”

Section: Discussionsupporting

confidence: 78%

Regional Disparities of Antenatal Care Utilization in Indonesia

Laksono

Rukmini

Wulandari

2019

Preprint

View full text Add to dashboard Cite

Introduction:The main strategy for decreasing maternal morbidity and mortality with antenatal care (ANC). ANC aims to monitor and maintain the health and safety of the mother and fetus, detect all complications of pregnancy and take the necessary actions, respond to complaints, prepare for birth, and promote healthy living behavior. The study aims to analyze inter-regional disparities in ≥4 ANC visits during pregnancy in Indonesia. Methods: Data sources from 2017 Indonesian Demographic and Health Survey (IDHS). With an analysis unit of women aged 15-49 years old, a sample of 15,351 women was obtained. Besides 2 ANC as the dependent variable, other variables analyzed were place of residence, age, husband/partner, education, parity, wealth status, and health insurance. Analysis using Binary Logistic Regression for the final test to determine disparity. Results: All regions show a gap with the Papua region as a reference, except the Maluku region which was not significant shows differences in the use of ANC compared to the Papua. Women in the Nusa Tenggara have 4,365 chances of making ≥4 ANC visits compared to the Papua region.Women in Java-Bali have 3,607 times more chances to make ≥4 ANC visits than women in the Papua region. Women in Sumatra have 1,370 chances of making ≥4 ANC visits compared to women in the Papua region. Women in Kalimantan have 2.232 times made ≥4 ANC visits compared to women in the Papua region. Women in Sulawesi have 1,980 times more than AN4ANC visits compared to women in the Papua region. In addition to the region category, other variables found to contribute to the predictor were age, husband/partner, education, parity, wealth and insurance.Conclusion: There were disparities between regions in the ANC utilization in Indonesia.Keyword: antenatal care, the barrier of utilization, mother health

show abstract

Section: Discussionsupporting

confidence: 78%

Regional Disparities of Antenatal Care Utilization in Indonesia

Laksono

Rukmini

Wulandari

2019

Preprint

View full text Add to dashboard Cite

show abstract

“…To improve access to medical care, in January 2014 the Indonesian government introduced the Indonesian Universal Health Coverage program, known as the National Social Health Insurance Scheme (Jaminan Kesehatan Nasional, JKN) [6]. The insurance scheme covers most health interventions for people registered under the scheme [6].…”

Section: Introductionmentioning

confidence: 99%

Health-Seeking Behavior of People in Indonesia: A Narrative Review

Widayanti¹,

Green²,

Heydon³

et al. 2020

JEGH

View full text Add to dashboard Cite

KeywordsConcept of health and illness health-seeking behavior Indonesia pathway of seeking care social determinants of health traditional medicines utilization of health care A B S T R A C TThis review aims to locate existing studies on health-seeking behavior of people in Indonesia, identify gaps, and highlight important findings. Articles were retrieved from Medline, Scopus, Web of Science, Academic Search Complete (via Ebsco), and ProQuest with a number of key words and various combinations. Articles from Indonesian journals were also searched for with Google Scholar. A total of 56 articles from peer-reviewed journal databases and 19 articles from Indonesian journals were reviewed. Quantitative designs were applied more frequently than qualitative, and mixed methods designs were used in some studies. The majority gathered retrospective information about people's behaviors. Communicable diseases and maternity care were the most frequently studied conditions, in contrast to noncommunicable diseases. In terms of geographical distribution, most research was conducted on Java island, with very few in outside Java. Important findings are a model of Indonesian careseeking pathways, an understanding of determinants of people's care choices, and the role of sociocultural beliefs. The findings from this narrative review provide insight to what and how Indonesians make decisions to manage their illness and why. This makes an important contribution to understanding the problem of underutilization of medical services despite the government's extensive efforts to improve accessibility.

show abstract

“…The changing dynamics in the distribution of human resources for health, especially among community health centres in the urban regions, also suggest that fiscal constraints experienced by the national government could potentially divert some of its limited resources for the health sector to other developmental sectors. This is not surprising, considering that a recent appraisal of the Indonesian health system highlighted the country's continued struggle with the underdevelopment of health infrastructure and medical talents . For instance, the growth of health workers to population ratio only increased incrementally or remained static from 2004 to 2015, with only 16 doctors, five dentists, 88 nurses, and 44 midwives deployed per 100,000 people, a rate that is not in tandem with the increasing health needs of the steadily growing.…”

Section: Discussionmentioning

confidence: 99%

“…This is not surprising, considering that a recent appraisal of the Indonesian health system highlighted the country's continued struggle with the underdevelopment of health infrastructure and medical talents . For instance, the growth of health workers to population ratio only increased incrementally or remained static from 2004 to 2015, with only 16 doctors, five dentists, 88 nurses, and 44 midwives deployed per 100,000 people, a rate that is not in tandem with the increasing health needs of the steadily growing. These issues, which stem from low funding support to develop human resources for health, could potentially hinder some of the promises that National Health Insurance programme has vowed to deliver …”

Section: Discussionmentioning

confidence: 99%

An unintended consequence of provider payment reform: The case of capitation grants in the National Health Insurance reform of Indonesia

Tan

Qian

2019

Health Planning & Management

View full text Add to dashboard Cite

Summary One of the most important components of the ambitious 2014 National Health Insurance reform in Indonesia is the implementation of prospective payment system known as capitation grants, paid monthly to the primary health providers based on the enrolment rate. This has ushered in additional financial resources for the health managers in resource allocations, especially in the hiring of manpower. Drawing data from the Indonesia Family Life Survey (1993‐2015), this paper uses difference‐in‐differences method to evaluate the effects of the payment method reform on the allocation of human resources for health among the primary health providers. To our surprise, there was no statistically significant change in the total number of full‐time staff among the capitated facilities after the reform. However, capitation grants caused an increase in the number of full‐time equivalent and part‐time equivalent contract staff, but a significant decline in the number of full‐time permanent staff among the urban capitated facilities. It is likely that more contract health workers were hired at the expense of full‐time permanent staff among the capitated facilities in the urban regions. This unintended consequence shed light on the need to develop nuanced and contextual understanding of payment reforms in developing countries.

show abstract

Universal health coverage in Indonesia: concept, progress, and challenges

Cited by 373 publications

References 23 publications

Regional Disparities of Antenatal Care Utilization in Indonesia

Regional Disparities of Antenatal Care Utilization in Indonesia

Health-Seeking Behavior of People in Indonesia: A Narrative Review

An unintended consequence of provider payment reform: The case of capitation grants in the National Health Insurance reform of Indonesia

Contact Info

Product

Resources

About