INDONESIA HEALTH CARE SECTOR CHANGE OF PARADIGM Chrisma A. Albandjar Special Advisor to the Chief of Staff Executive Office of the President. 8 November 2016 EU Indonesia Business Dialogue
Realization of Healthy Indonesian Family A decrease in Number of Maternal Death, Number of Infant Death, Stunting Infants. Absolute Number of Maternal Death Absolute Number of Infant Death Improving the health of Indonesian family keluarga through 3 main pillars: 1. Healthy lifestyle paradigm 2. Improving health care services and infrastructure 3. Developing National Health Insurance 5.019 people 23.703 children 4.809people 22.267 children 2013 2015 2013 2015 Number of Stunting Infants Has Decreased Additional Nutrition for Pregnant Mother 2013 2015 37,2% 29,6% Until end of 2016 will be distributed 4.952,2 ton additional nutrition for 550.248 pregnant mother who has lack of energy (kekurangan energi kronis) Source : Ministry of Health
Healthy Nusantara Program To provide quality services in rural and border area, 838 healthy workers (includes doctor, midwife, nurses) are designated in 158 Community Health Centers (Puskesmas) 1282.5 1260 1237.5 1215 1192.5 1170 1147.5 1125 COMMUNITY HC 1.179 1.256 2015 2016 Number of Community HC with minimum of 5 type of health workers. HOSPITAL The government keeps adding the number of Community Health Center and Hospital with sufficient health workers. 55 44 33 22 11 35% 43,95% The government also sent Healthy Nusantara Team to provide quality health care services in rural and border areas. Source : Ministry of Health 0 2015 2016 Percentage of Hospital class C which only has 4 basic medical specialists and 3 supporting medical specialists.
Realizing a Healthy Indonesia In 2016, the government keep increasing the member of BPJS and beneficiaries of Indonesia Health Card. 91.166.408 Beneficiaries (PBI) Indonesia Health Card 25.654 Health facility catering BPJS patients 20.663 Primary Health Center 2.009 Pharmacies 2028 Hospitals 958 Optician 169.574.010 Indonesian citizen is BPJS member (per 16/10/2016) In 2016, the government has procured Rp 20T for health insurance fee for 40% of the citizen in the lowest sosial economic condition in Indonesia. Source : Ministry of Health
NAWACITA (Nine Priority Agenda)
Jokowi- JK Vision and Mission NAWACITA Nawacita : #5 Improving quality of life Smart Indonesia Program Health Paradigm Healthy Indonesia Program Working Indonesia Program Welfare Indonesia Program Strengthening Health Services HEALTHY FAMILY Social Security Nawacita #6 Increasing productivity and competitiveness In 2025, about 2 million people will work in pharmaceutical industry sector National export of pharmaceuticals will reach Rp 350 trillion. Nawacita #7 Promoting economic independence by developing domestic strategic sectors 76% medicine demands for National Health Insurance has been produced domestically Preparing National Pharmaceuticals Industry Roadmap,
Healthy Indonesia Program HEALTHY INDONESIA PROGRAM Strategic Plan 2015-2019 Pillar 1 Healthy Lifestyle Paradigm Program: 1.Promotive preventive as baseline for health development 2.People empowerment through family approach 3.Multisector involvement 4.Healthy People Movement (Gerakan Masyarakat Sehat) Strengthen Healthcare Services and Infrastructure Program 1.Improving primary health care access 2.Optimizing Reference System 3.Improving quality Implementing continuum of care approach Health-risk based intervention Pillar 3 National Health Security Program 1.Benefit 2.Payment system: insurance 3.Managed care and managed cost HEALTHY FAMILY D T P K
National Industry Development Plan Government Regulation No. 14/2015 Pharmaceuticals, Cosmetics, Medical Technology
FUNDAMENTAL POLICY Transforming Consumption-Based Economy to Production-Based Economy Targeted poverty alleviation Ensuring adequate development across Indonesia INFRASTRUCTURE HUMAN DEVELOPMENT ECONOMIC POLICY