Making Services Work for the Poor in Indonesia: A Report on Health Financing Mechanisms (JPK-Gakin) Scheme in Kabupaten Purbalingga, East Sumba, and Tabanan

Alex Arifianto, Ruly Marianti, Sri Budiyati and Ellen Tan
Additional contact information
Alex Arifianto: SMERU

Development Economics Working Papers from East Asian Bureau of Economic Research

Abstract: The government of Indonesia has started the implementation of locally based healthfinancing schemes based on health insurance principles. This scheme is commonly known as JPK-GAKIN, which is a health-financing scheme through which the poor can access health care in public facilities, including primary and secondary health care. Due to the perceived success of JPK-GAKIN pilots, the government has decided to provide JPK-GAKIN in all districts in Indonesia from January 1, 2005. This study looks at the effects of different characteristics of JPK-GAKIN program on healthcare service provision, utilization of health care services, quality of healthcare provision, and how insurance characteristics can influence the relationships between stakeholders. Three districts were selected for the case studies : Purbalingga (Central Java), Tabanan (Bali) and East Sumba (Nusa Tenggara Timur). We found that compared with previous health financing schemes, JPK-GAKIN scheme has achieved better results in providing access to adequate health care coverage to members of the population, especially the poor. However, we found several problems associated with the scheme, such as : there is a need to improve its targeting and efficiency, it needs stricter financial monitoring and auditing, and it needs to increase stakeholders involvement in the governance of the scheme. We will elaborate on these concerns and recommend possible policy options to resolve them in this paper.

Keywords: local health financing; JPK-GAKIN; public health; poverty; Indonesia (search for similar items in EconPapers)
JEL-codes: I10 I18 I38 (search for similar items in EconPapers)
Date: 2005-01
References: Add references at CitEc
Citations: View citations in EconPapers (5)

Downloads: (external link)
http://www.eaber.org/node/22527 (application/pdf)
Our link check indicates that this URL is bad, the error code is: 301 [REDIRECT LOOP] Moved Permanently (http://www.eaber.org/node/22527 [301 Moved Permanently]--> https://www.eaber.org/node/22527 [301 Moved Permanently]--> https://www.eaber.org/node/22527 [301 Moved Permanently]--> https://www.eaber.org/node/22527 [301 Moved Permanently]--> https://www.eaber.org/node/22527 [301 Moved Permanently]--> https://www.eaber.org/node/22527 [301 Moved Permanently]--> https://www.eaber.org/node/22527 [301 Moved Permanently]--> https://www.eaber.org/node/22527)

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:eab:develo:22527

Access Statistics for this paper

More papers in Development Economics Working Papers from East Asian Bureau of Economic Research Contact information at EDIRC.
Bibliographic data for series maintained by Shiro Armstrong ().