IDEAS home Printed from https://ideas.repec.org/p/eab/financ/22521.html
   My bibliography  Save this paper

Making Services Work for the Poor in Indonesia : A Report on Health Financing Mechanisms in Kabupaten Purbalingga, Central Java : A Case Study

Author

Listed:
  • Alex Arifianto

    (SMERU)

  • Ruly Marianti
  • Sri Budiyati
  • & Ellen Tan

Abstract

Purbalingga is the first kabupaten in Indonesia to start implementing its health insurance scheme for the poor, as a replacement for the JPS-BK scheme (Social Safety Net Program Health Sector). Poor families (Gakin) receive a range of health insurance services that are subsidized by the government free-of-charge, while better-off families pay a premium of only 50% or 100%. They are categorized as participants in Gakin Levels I, II and III. The aim is to achieve universal coverage for all citizens in Kabupaten Purbalingga, those who are poor as well as those who are not. Kabupaten Purbalingga is considered unique in the scope of its health services, because it not only includes poor families in its scheme, but also non-poor families. The local government of Kabupaten Purbalingga considers the health insurance scheme to be one of the main pillars of the poverty reduction effort in the region. They want the management of this scheme to become more independent and less dependent on DinKes (the local government health agency) so the program can be managed more efficiently and with more accountability. What is rather interesting is that DinKes plans to arrange a health insurance scheme that will be autonomous and sustainable for all better-off members in the future. They intend to slowly increase the premium until it reaches the real cost of the assistance package. According to DinKes, the cost should be approximately Rp92,000 per family per month. From the perspective of Bapel, an autonomous scheme with that level of premium definitely has potential, however they will always depend on the premiums to be paid by the government. It needs to be noted that the Community Health Insurance Scheme (JPKM) initiative in Kabupaten Purbalingga is almost entirely the initiative of the government as its moving force. The main protagonists are government (Regent, DinKes and Bapel), public service providers (public hospitals and puskesmas), the local parliament (DPRD) and other government agencies.

Suggested Citation

  • Alex Arifianto & Ruly Marianti & Sri Budiyati & & Ellen Tan, 2005. "Making Services Work for the Poor in Indonesia : A Report on Health Financing Mechanisms in Kabupaten Purbalingga, Central Java : A Case Study," Finance Working Papers 22521, East Asian Bureau of Economic Research.
  • Handle: RePEc:eab:financ:22521
    as

    Download full text from publisher

    File URL: http://www.eaber.org/node/22521
    Download Restriction: no

    More about this item

    Keywords

    JPK- Gakin; Purbalingga; health; poverty program;

    JEL classification:

    • I38 - Health, Education, and Welfare - - Welfare, Well-Being, and Poverty - - - Government Programs; Provision and Effects of Welfare Programs
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • I00 - Health, Education, and Welfare - - General - - - General

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eab:financ:22521. See general information about how to correct material in RePEc.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (Shiro Armstrong). General contact details of provider: http://edirc.repec.org/data/eaberau.html .

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    We have no references for this item. You can help adding them by using this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service hosted by the Research Division of the Federal Reserve Bank of St. Louis . RePEc uses bibliographic data supplied by the respective publishers.