Expansion of Health Care Protection and Health Governance in Indonesia

Keywords

health reform; social insurance; governance

Abstract

The 1999 Asian economic crisis and political reform brought significant change in the sphere of health governance in Indonesia. One of the important landmarks is the expansion of health assistance for the poor (known as Askeskin). While Askeskin and later program such as Jamkesmas were created as ad hoc policies to mitigate the impact of economic crisis, these programs evolved to be a salient political issue both at national and local levels. The implementation of the National Social Security Law in 2011 further emphasises the defining role of health protection as a mean to achieve government’s ambition of universal access to health care by 2019. Based on 10 months ethnographic research and interviews with various health insurance stakeholders, this paper examines how health care expansion shapes health governance in Indonesia. Inspired by Gough & Wood’s informal welfare regime (2004), this paper argues that despite the ambition, government’s lack of investment in health services remains to be the main factor inhibiting health care reform. As consequence, the current health governance is caught in the limbo between expanding access to health services and providing adequate health services.

Copyright

© 2019, the Authors. Published by Atlantis Press.

Open Access

This is an open access article distributed under the CC BY-NC license (http://creativecommons.org/licenses/by-nc/4.0/).

Download article (PDF)

TY  - CONF
AU  - Retna Hanani
PY  - 2019/11
DA  - 2019/11
TI  - Expansion of Health Care Protection and Health Governance in Indonesia
BT  - Proceedings of the 3rd International Conference on Indonesian Social & Political Enquiries (ICISPE 2018)
PB  - Atlantis Press
SP  - 146
EP  - 149
SN  - 2352-5398
UR  - https://www.atlantis-press.com/article/125922588
ID  - Hanani2019/11
ER  -