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Welcome
Speech Time for NHI in Asia Pacific: Indonesia Experience drg. Oscar Primadi, MD, MPH Thank you, honorable representative from the
Ministry of Finance, Pak Didik. I would like to extend my gratitudes
to Senior Researchers from SMERU Research Institute, Senior Health Specialist
from World Bank, the representatives from the Ministry of Health of Malaysia,
the Director of Health System Disease from University of Hongkong,
representatives from Healthcare Microsoft Asia, the Director of Development
Planning and Management Analysis from the BPJS Kesehatan Indonesia, Dewan Jaminan Sosial Nasional, academics and researchers, and all
participants of today's meeting. Assalamualaikum Warahmatullahi Wabarakatuh. It's a great honor for me to deliver a
keynote speech in this forum. First, I'd like to congratulate SMERU Institute
for their success in organizing this year's Asia Pacific Future Trends Forum
- the 12th FTF, in which we'll discuss and explore our roadmap
towards achieving universal health coverage. Indonesia is moving towards its goal to achieve
universal health coverage by reforming its National Health Insurance system: Jaminan Kesehatan Nasional or JKN. The presence of universal health
coverage is mandated by the Constitution of the Republic of Indonesia, and
the JKN system was chosen specifically to carry the task. The National Health
Insurance system, particularly, focuses on achieving 'equity of access' to health care services and financial protection;
measured through the number of targets covered, and equal benefits and
satisfactions with the services. Ladies and gentlemen, with the establishment
of the National Health Insurance system, Indonesia has entered a new era of
single-payer healthcare system. This system is financed by the people and for
the people - reducing the health care services cost each time an insurance
package is purchased. Numbers related to the National Health Insurance system
are quite promising - data from BPJS until 31th October 2018 shows that the
number of people signing up for the National Health Insurance has reached 222
million people, or 94% of Indonesia's population. There are also growing
numbers of health care facilities participating in the National Health
Insurance program. Our data shows that until 1st
October 2019, the Social Security Department has contacted around 23.145
primary health care service providers and 2519 healthcare facilities to
become service providers in the National Health Insurance program. Since the
implementation of the National Health Insurance system in 2014, the total
government expense for health-related expenditure in Indonesia has decreased
from 54.8% in 2010 to 31.8% in 2017. Ladies and gentlemen; there are a number of
challenges that we have to overcome in order to achieve universal health
coverage, such as the 'rising amount of informal sector workers,' that became
members of the national health insurance program; and that Indonesia is
currently undergoing a rapid epidemiological transition, with
Non-Communicable Diseases now becomes the largest threat, while at the same
time, we are still struggling with Communicable Diseases such as tuberculosis
- not to forget that we are still dealing with problems like malnutrition.
The geographical context, alongside the economic gaps, pose as challenges,
especially in closing the disparity in access to healthcare services. The
demand for health care services has also increased, since acquiring the
membership of the National Health Insurance system became mandatory. The
increase in such demand needs to be balanced with the availability of equal
health care services, the readiness of health care service provides, and
adequate supplies for the fundamental health care services. Ladies and gentlemen, we are committed in
achieving universal health coverage; but again, we would like to learn from
experiences in other countries in order to strengthen our National Health
Insurance system, and solve the challenges that will be discussed in this
forum. I hope that this meeting will be valuable for both me and all of the
FTF participants. Assalamualaikum Warahmatullah Wabarakatuh. |
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