National health insurance contribution to family planning program funding in Indonesia: A fund flow analysis

Gates Open Research

article

Amirah Ellyza Wahdi¹  Edward Sutanto³  Althaf Setyawan²  Yufan Putri Astrini²  Nadhila Adani³  Halimah Mardani³  Nirwan Maulana³  Anooj Pattnaik⁴  Trihono Trihono³  Siswanto Agus Wilopo¹ 

[1]Department of Biostatistics, Epidemiology, and Population Health, Faculty of Medicine, Public Health & Nursing, Universitas Gadjah Mada

[2]Center for Reproductive Health, Universitas Gadjah Mada

[3]ThinkWell, Central Jakarta

[4]ThinkWell

关键词: Family planning;    national health insurance;    health financing;    Indonesia;    universal health coverage;    health budget;    out-of-pocket payment;    private facilities;   

DOI  :  10.12688/gatesopenres.14642.1

学科分类：电子与电气工程

来源: American Journal Of Pharmtech Research

【 摘 要 】

Background: Launched in 2014, Indonesia’s national health insurance system (JKN) aimed to provide universal health coverage, including contraceptive services, to its population. We aim to evaluate the contribution of JKN to the overall spending for the family planning program in Indonesia.  Methods: Data from the Indonesian Demographic Health Survey, Survey on Financial Flows for Family Planning, Indonesia Motion Tracker Matrix, World Population Prospect, and Indonesian ministries’ budget accountability reports were entered into the CastCost Contraceptive Projection Tool to define budgetary allocation and spending for the family planning program at the national level in 2019.  Results: Indonesia’s family planning program in 2019 was financed mostly by the national budget (64.0%) and out-of-pocket payments (34.6%). There were three main ministries responsible for family planning financing: the National Population and Family Planning Board (BKKBN) (35.8%), the Ministry of Finance (26.2%), and the Ministry of Health (2.0%). Overall, JKN contributed less than 0.4% of the funding for family planning services in Indonesia in 2019. The majority of family planning spending was by public facilities (57.3%) as opposed to private facilities (28.6%).  Conclusion: JKN’s contribution to funding Indonesia’s family planning programs in 2019 was low and highlights a huge opportunity to expand these contributions. A coordinated effort should be conducted to identify possible opportunities to realign BKKBN and JKN roles in the family planning programs and lift barriers to accessing family planning services in public and private facilities. This includes a concerted effort to improve integration of private family planning providers into the JKN program.

【 授权许可】

CC BY