Healthcare System

in IndonesiaMuhammad. Z. Haris, MD

East Asia & Pacific (developing only)

Income level Lower middle incomeGDP (current US$) $868.3 billion 2013

Population, total249.9 million 2013

BPJS Health - JKN(National Health Insurance)

• Govt. Institution

• Regulate the JKN (NHI)

• Since Jan 1, 2014

• For every Indonesia citizen

• Foreigner

(6 months worked in Indonesia)

• “Structured Referral”

JKN Participants

• Civil worker, military, police, government officials

• Recipient

• Poor people

• Non-recipient

• Employees, entrepreneurs, service providers, etc.

JKN Premium

• Civil worker, military, police, government officials 5% of monthly salary

• Recipient Free (covered by government)

• Non-recipient

• 1st class $ 6.0/person/month

• 2nd class $ 4.5/person/month

• 3rd class $ 2.5/person/month

Structured Referral Treatment Ladder

(Unless emergency)

Primary Healthcare (Puskesmas)

Puskesmas KelurahanPuskesmas Kecamatan

Primary Healthcare (Puskesmas)

Puskesmas KelurahanPuskesmas Kecamatan

Structured Referral Treatment Ladder

(Unless emergency)

Primary Healthcare (Puskesmas)

Check-up & Consultation

Medical examination &

treatment

Blood transfusion

Inpatient Simple lab diagnostic examination

Referral to higher healthcare level

How come they expect me to

assess all patients with

those equipments ?

BPJS Health

Hospital

Partnered with

PUSKESMAPUSKESMASS

Secondary Healthcare (Hospital)

Consultation & examination conducted by specialist

Medical treatment and intervention

conducted by specialist

Blood

Transfusio

n

ProdiaLaborat

ory

Better lab diagnostic

facilityInpatient is now covered in non-intensive and

intensive care unit

Excemptions from Coverage

ITAL

We have no agreement with Govt!

Hospital

Like I want to follow

that stupid ‘Ladder’

Abroad Healthcare

facility

“Alternative”

medicine

Drugs / alcohol addiction

Cosmetic/beauty treatment

Posyandu (Integrated Health Post)

• A community-based healthcare

• A monthly clinic for children under five and pregnant women

• Attended by mothers, children, community volunteers, staff from the health centers, and/or family planning fieldworkers

• Providing : vaccinations, vitamins & nutritional supplements (oral or injection), prenatal & postnatal exams, immunization, vitamin & nutritional screening, and oral contraceptives

• >260,000 Posyandu posts nationwide

Reference BPJS Kesehatan. (2014, May 8). Iuran. Retrieved from http://bpjs-

kesehatan.go.id/bpjs/index.php/pages/detail/2014/13

Dinas Kesehatan Kota Kediri. (2014, May 22). Data Umum puskesmas kota wilayah selatan. Retrieved from http://dinkes.kedirikota.go.id/?p=106

Dinas Komunikasi. (October 2014).Puskesmas kecamatan Menteng. Retrieved from http://www.jakarta.go.id/web/encyclopedia/detail/3936/Puskesmas-Kecamatan-Menteng

Jaques, H. (2015, January 12). Still in its infancy, Indonesia's national health service makes an impact. Retrieved from http://asia.nikkei.com/Business/Trends/Still-in-its-infancy-Indonesia-s-national-health-service-makes-an-impact

Reference Pusat Komunikasi Publik. (2014, August 18). Menkes ungkap

berbagai tantangan penyelenggaraan JKN di fasilitas kesehatan. Retrieved from http://www.jkn.kemkes.go.id/detailberita.php?id=76

Pusat Komunikasi Publik. (2014, October 15). Senyum keluarga posyandu untuk selamatkan ibu. Retrieved from http://www.depkes.go.id/article/view/201410270005/senyum-keluarga-posyandu-untuk-selamatkan-ibu.html

Puskesmas rujukan RSUD. (2014, June 12). Retrieved from http://www.tribunnews.com/images/regional/view/1202072/puskesmas-rujukan-rsud#.VQCdRJU5BwE

RAND Corporation. (n.d. ). Health Facilities: Photos from pilot tests of the survey instrument. Retrieved from http://www.rand.org/labor/FLS/IFLS/photos/facpix.html