What We Do
HP+ partnered with the National Team for Accelerating 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
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?
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?
Has Indonesia’s national health insurance scheme improved family planning use and access to maternal and newborn health services and HIV care and treatment?
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.