Sneak peek on Indonesia's Health System

By early 1990s, Indonesia had experienced and improvement in socio economic indicators. Life expectancy at birth reached 64 years for males and 67 years for females in 1996 and the infant mortality rate gradually declined from 142 per 1 000 in 1968 to 50 per 1 000 in 1998. By, 2005, life expectancy for males was estimated at 67 and for females at 71 years of age.

Health System
At the city level, there is a City Health Office that is headed by Medical Professional appointed by and responsible to Mayor for administrative and operational matters for health policy and medical procedures, however, the Head is responsible to the Department of Health in the national level. The implementation of the health program at the community level is carried out by the Community Health Center, or Puskesmas (Suyono, 2002).

In implementing the health program, the Puskesmas is supported by a network

• Assistant Puskesmas (Pustu) -  A simple health service unit under the Puskesmas that covers two to three villages. This unit serves about 2500 inhabitant in Java and Bali islands or 10,000 inhabitants in urban areas. It is an integral part of the Puskesmas.
• Mobile Puskesmas (Pusling) - A mobile health services unit that is equipped with a car or speedboat, health and communication instruments, and health personnel. In remote areas that can not be reached by the formal health services, a Pusling replaces the function of Puskesmas.
• Village Midwives Clinic. (BDD) - The government places a BDD in a village that does not have other health services. The BDD is provided with a building as a village birth attendance cottage (Polindes) where she lives and works. She is also equipped with obstetric kit. She serves 3000 inhabitants.

 

The process on  Healthy Indonesia --to be achieved in 2020

Health Insurance 

Health care system in Indonesia is mainly run by the Government. The private sector also maintains health centres and hospitals, all of which are supervised by the Ministry of Health (MOH). Social security health plans in Indonesia, the ASKESKIN plan, ASKES plan and PKTK plan.

GOVEMMENT-FINANCED PROGRAMME

1. ASKESKIN/JAMKESMAS-  it is targeted to the poor and near poor. it is funded by the central government from general tax revenue. Beneficiaries are not responsible for premium payments nor they are charged a copayment at the time of visit

 PRIVATELY-FINANCED PROGRAMMES

1. ASKES plan - it is for the compulsory health insurance system covering civil servants, active and retired and retire military personnel and their dependants. Members are entitled to free use of government health centres, hospitals and to a class of accomodation in accordance with their respective ranks in the civil sevice.
2. PKTK/JAMSOSTEK plan - it is a health programme for private employees. the objective of the programme is to provide basic health care of good quality which is financially affordable. it is the most important factors in the promotion of the productivity of private workers and that the costs of health care may post a heavy  financial burden on employees

 

 Allianz company is the leading group of insurance company in Indonesia