The first Health System in Transition review of Indonesia released
Indonesia is in the midst of a series of transitions, ranging from demographic and epidemiological to social, economic and political. Indonesian became a stable democratic government in 1988 with significant devolution of power to sub national levels.
This report highlights the significant improvement in the overall health status of Indonesians over the last 25 years. The Progress however is not smooth with regional disparities in health status and in quality, availability and capacity of health services to deliver. Persistent old communicable diseases such as Tuberculosis and emerging new epidemics in noncommunicable diseases (NCDs) will further challenge the health system. Although there has been a substantial increase in health spending at national level, health spending as a proportion of gross domestic product (GDP) remains below average among the low- to middle-income countries (3.1% of GDP in 2012). The Government’s share of total health expenditure also remains low, at only 39%, whereas private, primarily out-of-pocket expenditure, is 60%. The insufficient facilities and workforce needed for public services has encouraged the growth of private health facilities.
Commencing in 2014, the government has introduced a national health insurance scheme (JKN: Jaminan Kesehatan Nasional) which progressively aims to expand coverage to cover the whole population by 2019. Moving forward, the challenge for the Government is to manage the expansion of this scheme, while addressing regional disparities in service quality and accessibility, managing resources effectively, containing costs and minimizing fraud, engaging the private sector, and maintaining investment in health promotion and prevention programmes.
For more information, please Click Here.