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LEARNING TASK 5

As a developing country with population more than 200 million, Indonesia has complex

health problems. The average per capita income is 680 US dollar per year. More than 30% of the

population is under poverty line. Thirty percent of the health financing is from government and 70%

is from community. Most of the governments funding is for public services while the community

funding is for private services. About 80% of the community funding is available from fee for

services and 20% is from insurance. Based on the gross per capita income, only 2,5% of it is allocated

for health financing. Because most of the population is not covered by health insurance, they dont

depend on any particular health services. The authority of health provider is quite high. People are

often unable to pay health services especially in a hospital. They are even getting poorer, because they

have to spend almost all of their money to pay the health services.

Assignment

1. What components should be considered to find the solution of various problems above?

2. How is the application of public and private health services in Indonesia?

3. How public and private services will be applied based on SKN 2009?

4. Can SKN 2009 give the solution of all problems above? Explain the several possibilities!

5. What facilities need to be prepared and optimal zed in order to apply the SKN 2009 concept?

Answer

1. The components should be considered by the six subsystems SKN 2009, such as:

Subsistem Upaya Kesehatan

Subsistem Pembiayaan Kesehatan

Subsistem Sumber Daya Manusia Kesehatan

Subsistem Obat dan Perbekalan Kesehatan

Subsistem Pemberdayaan Kesehatan

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Subsistem Manajemen Kesehatan

2. In Indonesia both public and private health services are exist. Indonesia health service before

are unstructured, but now with SKN 2009 Indonesia health service become structured. Firstly

if one of the family member is sick, they will do self care, if they still sick they will search

for primary health care, then secondary health care and until tertiary health care. The private

health service is 70% and 30% is public health service. The facilities in private health services

relatively better than the public health service. Public and private health services are

cooperated, for example: patient from private hospital can be referred to public hospital.

3. UKM (Upaya Kesehatan Masyarakat) untuk public

- Strata 1 Puskesmas

- Strata 2 Dinas Kesehatan Kabupaten/Kota

- Strata 3 Dinas Kesehatan Provinsi/Departemen Kesehatan

UKP (Upaya Kesehatan Perorangan) untuk private

- Strata 1 Puskesmas

- Strata 2 Rumah Sakit kelas C dan B Non-Pendidikan

- Strata 3 Rumah Sakit kelas B Pendidikan dan A serta Rumah Sakit Khusus

4. Yes, it can. By doing the 6 sub system intensively, for example: financing problem. The

governments give health insurance (jaminan kesehatan) for poor people.

5. By increasing the public health services, improve the quality of medical practitioner (SDM),

generalization the allocation for drugs.