Indonesia is one of the developing countries with 14 % poverty rate. According to this data, we could conclude that more serious intervention should be focussed on the poor in Indonesia. Poverty should be looked as one of the serious aspect in the country. If this problem is not managed properly it can lead to general health status as well as human resources problems. Such a waste!
In this post, I would try to give some information related to some measures that are taken by government of Indonesia in providing health insurance to the poor. These are four existing social security schemes in Indonesia:
(a) Jamsostek – Jamsostek is a private insurance fund that provides insurance for the private sector employers and its employees. There are four basics coverage; Injury employment, Death, Health Insurance, and a provident fund type Old Age Benefit.
(b) Taspen – Taspen provide fund for civil servants in the form of a retirement lump-sum or a pension programme.
(c) Askes – Askes provide Health Insurance for the public sectors employees and some others.
(d) Asabri – Asabri provide counterpart fund for the armed forced and police in the form of a retirement lump-sum or a pension programme.
In 2005, Kartu Sehat that was formerly provided fund for the poor was replaced by a new Health Card system that was issued by Askes. The programme for the poor is known as Askeskin. In this programme, government is the one who is responsible for paying the premium as much as Rp 5 000 for each person per month. It was estimated that annual contribution of this programme to be 3.6 trillion for 60 million people. There were two phase in 2005. The first semester occurred between January and May 2005. The period targeted 36.1 million individuals covered that was equivalent to the number of estimated poor people in Indonesia. Askes ran this programme through its local branches. The local authorities provided the list of qualifying people. Basically, the number of qualifying people in the list must be consistent to the estimated quota given to the districts. The services provided included outpatient primary care in local health centres (Pukesmas) and free treatment at the hospital, generally 3rd class public hospital. For the second semester (June to December 2005), the target was 60 million individuals to cover the poor and near poor people. There was a change in term of fund management. The fund was directly paid to the District Health Office for the Puskesmas service and Askes only received payment for the hospital service provided to the poor.
References:
1.International Labour Organization. Indonesia: Providing Health Insurance For the Poor.
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