Making Healthcare Accessible for All
Background:In Indonesia, the Law on social security agency, which targets universal coverage in health service (UHC) was effective in 2014. The Law’s main objective is to improve health equity and access to high quality of care. This Law aims to reform health care system. After five year of policy implementation, UGM conducted a policy research on the Law effectiveness. Method: A policy evaluation using Realist Evaluation was implemented in 2018. Results: After 5 years of implementation, the health system reform objective in terms of improving access is not yet achieved in an equitable manner. The affluent societies enjoy more medical benefit than the poor one due to better access and low premium tariff. The main factor of this situation because the supply-side and the archipelago nature of Indonesia. The tax-based financial support for the universal health coverage is weak. The worst scenario is the burden of curative care will increase sharply and reducing the budget for preventive and promotive in sustainable development programs. Recommendation: A radical change to the current policy should be done and using more health care system reform principles. Healthy behaviour and environment program should be more implemented in society. Moreover, the use of tax-money for financing medical care for the affluent society should be reduced. National and local government should increase the budget for balancing health care access to every citizen.
Professor of Health Policy and Administration
Faculty of Medicine, Public Health, and Nursing Universitas Gadjah Mada
Jl. Farmako Sekip Utara
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