Health Care Financing In Indonesia

• Main Author: Perpustakaan UGM, i-lib
• Format: Article NonPeerReviewed
• Published: [Yogyakarta] : Universitas Gadjah Mada 1989
• Subjects: Jurnal i-lib UGM
• Online Access: https://repository.ugm.ac.id/18810/; http://i-lib.ugm.ac.id/jurnal/download.php?dataId=1618

ABSTRAK This paper describes health care financing and expenditures in Indonesia, a developing country spending around $ US 9.50 per capita anually for health care (2.6% of GDP). Per capita health care spending has held constant in real terms over the last five years. The public sector accounts for 36.8% of all health care expenditure, or 43.1% if health care spending by state enterprises is included. About 13% of the population, almost all of them government employees and their families, are covered by some form of health insurance. In 1984, 62% of the population was spending privately - at then current exchange rates - an average of $ US 2.70 percapita anually for health care, another 30% averaged $ US 8.35 each, and then upper 9 % $ US 31.90. The Government is reviewing various "social financing' mechanism with a view to expanding health insurance coverage bath for those in formal wage employment and the bulk of the population which remains either on the land or is part of the 'informal' sector. Steps are also being taken to increase the efficient use of resources by, among other things, making greater use of evaluation techniques and economic metodologies. Such efforts are coupled with more decentralized authority being given to the provinces and districts. Particulary important to future health efforts is the further expansion of community-based activities, especially in the form of the Posyandu (integrated health post).