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HP+ ended September 27, 2022

Better Policy for Better Health

  • About
    • Project Overview
    • Partners
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    • Contact
    • Work with Us
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  • Our Work
    • Family Planning
    • HIV
    • COVID-19 Response
    • Health Financing
    • Maternal Health
    • Modeling
    • Capacity Development
    • Gender
    • Health Equity
  • Countries
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    • Webinars

Featured Activity

Comprehensive Assessment of Indonesia's National Health Insurance Scheme

TNPK2K
The comprehensive assessment of Indonesia's national health insurance scheme was coordinated by the National Team for Acceleration of Poverty Reduction (TNP2K), with support from USAID through HP+.

In 2014, Indonesia embarked on an exciting and ambitious strategy to move towards universal health coverage through Jaminan Kesehatan Nasional (JKN), the country's single-payer national health insurance scheme. The Government of Indonesia spends significant resources to cover membership costs for the poor and near-poor under JKN. The scheme currently incurs annual deficits which are growing. Given the significant investments in JKN, Indonesia's Ministry of Finance and other ministries have an interest in understanding whether JKN delivers a positive and equitable impact on the social sector and population health. In particular, ministries are interested in whether JKN increases healthcare-seeking behavior, engages the private health market in a way that stimulates investment and competition, and the impact of JKN on specific priority health areas and the efficiency and quality of how healthcare resources are used.

Publications

Equity Analyses: Indonesia’s National Health Insurance
Equity Analyses: Indonesia’s National Health Insurance
Influence of Indonesia’s National Health Insurance on Essential Health Services
Influence of Indonesia’s National Health Insurance on Essential Health Services
Financial Sustainability: Indonesia’s National Health Insurance
Financial Sustainability: Indonesia’s National Health Insurance
View all Featured Activity Publications

What We Do

HP+ partnered with the National Team for the Acceleration of Poverty Reduction, known as TNP2K, and other actors within the Government of Indonesia to conduct a comprehensive assessment of JKN. The assessment considers the impact of JKN from four perspectives—the payer, patient, provider, and private sector—and:

  • Analyzes JKN's long-term financial sustainability and the public sector fiscal space to finance JKN in the context of rising spending under the scheme
  • Measures JKN's influence on household health-seeking behavior, particularly among poor and near-poor individuals
  • Assesses JKN's influence on access to key health services, including maternal and neonatal health, family planning, tuberculosis, and HIV
  • Captures JKN's impact on private health providers' investment decisions, competitiveness, and the efficiency of healthcare service delivery
  • Considers the impact on the private health market overall and association with labor market gains

Comprehensive Assessment of Indonesia’s National Health Insurance Scheme
 

Equity Analyses: Indonesia's National Health Insurance

The central purpose of Indonesia’s national health insurance scheme is to address existing inequities in access to and quality of healthcare, ensuring that all citizens, especially the poor and near-poor, can access quality care without facing financial hardship. Is it working?

Financial Sustainability: Indonesia's National Health Insurance

Indonesia’s national health insurance scheme is one of the most ambitious single-payer programs in the world. The government is committed to ensuring JKN’s ongoing sustainability, but how can it improve the predictability of its outlays to the scheme?

Influence of Indonesia's National Health Insurance on Essential Services

Has Indonesia’s national health insurance scheme improved family planning use and access to maternal and newborn health services and HIV care and treatment?

Private Sector and Indonesia's National Health Insurance

Responding to the demand for health services created through Indonesia’s national health insurance scheme will require strong partnership between the government and the private health sector. Do JKN processes support the private health sector remaining robust and continuing to invest and grow?

Results from the JKN comprehensive assessment were presented at nearly 20 forums over 2017–2018, including diverse consultations with government, private sector, implementing partner, and donor representatives and at the following conferences: 

  • International Health Economics 2017 World Congress
  • The Indonesia Academy of Sciences (AIPI) Evidence Summit
  • Indonesia's Health Economics Association's 2017 Conference
  • Third Annual UHC Financing Forum
  • Achieving Universal Health Coverage: Escalate Quality, Minimize Inequity, convened by the Indonesia Ministry of Health

The financial sustainability model, in particular, helped inform government decision making around the timing and feasibility of increases to premium contributions under the scheme.

Post assessment, HP+ is continuing to share results of the assessment and support the Government of Indonesia to improve maternal and newborn health outcomes and strengthen HIV prevention and treatment cascades through evidence generation, capacity development, and advocacy.

Indonesia’s National Health Insurance Scheme

News

Make Every Day
Make Every Day "Health Equity Day"
Indonesia Targets Strategic Purchasing of Health Services to Improve HIV Service Provision
Indonesia Targets Strategic Purchasing of Health Services to Improve HIV Service Provision
Indonesia Makes Inroads toward Universal Health Coverage through National Health Insurance Program
Indonesia Makes Inroads toward Universal Health Coverage through National Health Insurance Program
View all Featured Activity News

Project Impacts

Journal Article on Cost Delivery Services in Indonesia Published

July 2020 — 

HP+ Indonesia’s partnership with Badan Litbangkes has resulted in a second article being accepted in the journal PlosOne. “The Influence of Jaminan Kesehatan Nasional (JKN) on the Cost of Delivery Services in Indonesia” aimed to identify the association between use of Indonesia’s national health insurance (JKN) and out-of-pocket expenditures in accessing delivery services. The study found that use of JKN is associated with reduced out-of-pocket expenditures for delivery as well as reduced risk of incurring catastrophic delivery expenditure, though some out-of-pocket expenditures for delivery services still exist among mothers enrolled in the scheme.

Strengthening Financial Sustainability of Indonesia’s National Health Insurance Scheme

October 2018 — 

Indonesia's MoF and other ministries have an interest in understanding whether Indonesia’s national health insurance scheme—Jaminan Kesehatan Nasional (JKN) - delivers a positive and equitable impact on Indonesian’s health and welfare. HP+ worked with the MoF to design a M&E framework for health and with the Government of Indonesia to conduct a comprehensive assessment of JKN. The assessment considers JKN’s long-term financial sustainability and the impact of JKN from various perspectives, including on private health providers' investment decisions, competitiveness, the efficiency of healthcare service delivery, and the impact on the private health market overall, including labor gains. These findings are being used to inform continued investment in JKN and changes to the legal framework for health in the country. In October, HP+ was recognized for ‘Excellence in the Use of Theory of Change’ by the USAID Mission in Indonesia for their work on the JKN comprehensive assessment.

  • About
    • Project Overview
    • Partners
    • Leadership
    • Contact
    • Work with Us
    • Home
  • Our Work
    • Family Planning
    • HIV
    • COVID-19 Response
    • Health Financing
    • Maternal Health
    • Modeling
    • Capacity Development
    • Gender
    • Health Equity
  • Countries
    • Africa
    • Asia
    • Latin America & the Caribbean
  • Resources
    • Publications
    • Models
    • News
    • Viewpoints
    • Conferences & Events
    • Webinars
Privacy Policy Sitemap Staff Intranet

CONTACT US

Health Policy Plus
1331 Pennsylvania Ave NW, Suite 600
Washington, DC 20004
policyinfo@thepalladiumgroup.com

Health Policy Plus (HP+) is a seven-year cooperative agreement funded by the U.S. Agency for International Development under Agreement No. AID-OAA-A-15-00051, beginning August 28, 2015. HP+ is implemented by Palladium, in collaboration with Avenir Health, Futures Group Global Outreach, Plan International USA, Population Reference Bureau, RTI International, ThinkWell, and the White Ribbon Alliance for Safe Motherhood.

USAID-from the American People

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