JAMKESMAS and District Health Care Insurance Schemes
Please read here. (If you want to get softcopy, please submit request at inisiatif@inisiatif.org)
Reviewer : Yuna Farhan, Fitria Muslih, Valentina S. Wijiyati, MS. Wa’i, Donny Setiawan
Assessor : Arifin – Pattiro Kendal, Atang Setiawan – Lakpesdam Tasik, Nunik Handayani – FITRA Sumsel, Panji Yudha Prasetya – INISIATIF Bandung, R. Widi Nugroho – Pattiro Semarang, Tubagus Asep Subkhi – Lakpesdam Lebak, Valentina Sri Wijiyati – IDEA Yogyakarta
TABLE OF CONTENTS
Preface
Chapter 1 : Introduction
Introduction
Research Objectives
Expected Outputs
Methodology
Background to the Assessment
Data Collection Methods
Methods of Data Analysis
Assessment Locations
Chapter 2 : JAMKESMAS and District Needs for Health Care Insurance
Overview of the JAMKESMAS Scheme
JAMKESMAS Financing
JAMKESMAS and the Needs of Health Care Cost Protection in Districts
Chapter 3 : District Health Care Insurance Scheme (JAMKESDA)
Regional Policies to Provide Health Care Security for the Poor and Disadvantaged People
District Scheme Categories of Health Insurance
The Benefits of JAMKESDA Schemes
Chapter 4 : Effects of Targeting
Overview of Targeting in JAMKESDA Schemes
The Effects of Targeting
Overview of the Poverty Data Problems
The Targeting Problems in JAMKESMAS Implementation
The Targeting Error Problems : F-Type, E-Type, Double Dipping
The Budget Capacity Relating to the Model of Targeting
Chapter 5 : District Financing Capacity for Health Care Insurance Scheme
General Budget Profile
Budget Revenue Profile
Budget Spending Profile
District Health Budget
Revenue from Health Sector
District Health Budget Spending
Budget for District Health Care Insurance Scheme
Chapter 6 : Institutional Setting of the Scheme
The Legal Framework of the Scheme
The District Scheme with Peraturan Daerah Legal Framework Status
The District Scheme with Keputusan/Peraturan Kepala Daerah Legal Framework Status
The District Scheme without Clear Legal Framework Status
Institutional Arrangement of the Scheme
District Scheme as a Project Allocated through Social Assistance Budget Item
District Scheme with Separation of Regulation and Financial Organization Function
The Dinas Kesehatan as the Main Organization in Government for Scheme Delivery
The District Scheme as Subordinate of Provincial Scheme
Chapter 7 : Beneficiaries Perspectives of Health Care
Beneficiaries’ Health Treatment Seeking Behavior
Barriers to Access to Formal Health Care Facilities
Beneficiaries’ Perception of Helath Care Services Received
Beneficiaries’ Perception of JAMKESMAS
Program Socialization
Targeting in JAMKESMAS Program
The Advantages of the Program
The Weaknesses of the Program
Beneficiaries’ Perception of JAMKESDA
Program Dissemination
Chapter 8 : Conclusion
The Prospect of Universal Coverage of Health Care Insurance in Indonesia
Adequacy of the District Scheme as the Complementer of the National Scheme to Achieve National Universal Coverage of Health Care Insurance
Agenda for Research and Advocacy of Civil Society Organization in Indonesia
