Publication:
The Nuts & Bolts of Jamkesmas, Indonesia’s Government-Financed Health Coverage Program for the Poor and Near-Poor

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dc.contributor.authorHarimurti, Pandu
dc.contributor.authorPambudi, Eko
dc.contributor.authorPigazzini, Anna
dc.contributor.authorTandon, Ajay
dc.date.accessioned2013-05-06T16:27:46Z
dc.date.available2013-05-06T16:27:46Z
dc.date.issued2013-01
dc.description.abstractThis case study describes and assesses Jamkesmas, Indonesia's government-financed health coverage program for the poor and near-poor. It provides a detailed description of the scope, depth, and breadth of coverage provided under Jamkesmas, and highlights ways in which the program interacts with the rest of Indonesia's health system. It also summarizes and discusses evidence on whether Jamkesmas is attaining its stated objectives of removing financial barriers and improving access to health care by the poor and near-poor, what could be improved, and what lessons can be learned from the experience of Jamkesmas that could help inform Indonesia's quest for universal coverage. The primary theme underlying the study is that supply-side constraints and supply-side subsidies have not been leveraged to increase the effectiveness of the Jamkesmas program. There are significant geographic deficiencies in the availability and quality of the basic benefits package, especially for those living in relatively remote and rural locations of the country, and this limits the effective availability of benefits for many Jamkesmas beneficiaries. The remainder of the case study is organized as follows. Section two provides general background and information on health system outcomes in Indonesia. Section three is an overview of health care financing and delivery. Section four describes the institutional architecture of Jamkesmas. Section five highlights the process of targeting, identification, and enrolment of beneficiaries under the program. Section six focuses on the role of public financing. Section seven outlines the basic benefits package. Section eight provides an overview of the information environment of Jamkesmas. Section nine discusses the special theme of supply-side constraints and supply-side subsidies that dilute the effectiveness of the Jamkesmas program. Section ten discusses the pending agenda around some of the architectural and operational features of Jamkesmas in the context of universal coverage.en
dc.identifier.doi10.1596/13304
dc.identifier.urihttps://hdl.handle.net/10986/13305
dc.language.isoen_US
dc.publisherWorld Bank, Washington DC
dc.relation.ispartofseriesUNICO Studies Series;No. 8
dc.rightsCC BY 3.0 IGO
dc.rights.holderWorld Bank
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/igo
dc.subjectaccess to health care
dc.subjectaccess to health services
dc.subjectaccess to services
dc.subjectaccountability mechanisms
dc.subjectadministrative costs
dc.subjectAdult mortality
dc.subjectAdult mortality rate
dc.subjectadverse selection
dc.subjectaged
dc.subjectalternative medicine
dc.subjectambulatory care
dc.subjectambulatory services
dc.subjectbasic health services
dc.subjectBeds
dc.subjectcancer
dc.subjectcapital investments
dc.subjectcapitation
dc.subjectcapitation payment
dc.subjectcatastrophic expenditure
dc.subjectcatastrophic health spending
dc.subjectCenter for Health
dc.subjectcertification
dc.subjectchild mortality
dc.subjectchild mortality rates
dc.subjectclinical guidelines
dc.subjectCommunicable diseases
dc.subjectcomplications
dc.subjectcontraception
dc.subjectContraceptive prevalence
dc.subjectContract Monitoring
dc.subjectcost of care
dc.subjectcost of provision
dc.subjectcost sharing
dc.subjectdelivery mechanisms
dc.subjectdelivery of health services
dc.subjectdental prosthesis
dc.subjectDependency ratio
dc.subjectdeveloping countries
dc.subjectDevelopment Planning
dc.subjectdoctors
dc.subjecteconomic growth
dc.subjecteconomic status
dc.subjectemergency care
dc.subjectemergency obstetric services
dc.subjectemployment
dc.subjectessential drugs
dc.subjectexpenditures
dc.subjectfamilies
dc.subjectfamily members
dc.subjectfee schedules
dc.subjectfee-for-service
dc.subjectfertility
dc.subjectfertility rate
dc.subjectfinancial barriers
dc.subjectFinancial Management
dc.subjectFinancial Protection
dc.subjectfinancial risks
dc.subjectFinancing Health Care
dc.subjectfixed costs
dc.subjectGross domestic product
dc.subjecthealth care
dc.subjectHealth Care Delivery
dc.subjecthealth care financing
dc.subjecthealth care providers
dc.subjecthealth care services
dc.subjecthealth centers
dc.subjectHealth Coverage
dc.subjectHealth Expenditure
dc.subjecthealth facilities
dc.subjectHealth Financing
dc.subjectHealth Indicators
dc.subjectHealth Insurance
dc.subjecthealth insurance program
dc.subjecthealth insurance scheme
dc.subjecthealth insurance schemes
dc.subjectHealth Organization
dc.subjecthealth outcomes
dc.subjecthealth plan
dc.subjecthealth providers
dc.subjectHealth Research
dc.subjecthealth sector
dc.subjectHealth service
dc.subjectHealth Service Delivery
dc.subjectHealth service utilization
dc.subjecthealth services
dc.subjectHealth Spending
dc.subjecthealth spending share
dc.subjectHealth System
dc.subjectHealth System Financing
dc.subjecthealth systems
dc.subjecthealth workers
dc.subjecthealthcare services
dc.subjecthearing aids
dc.subjecthospital
dc.subjecthospital beds
dc.subjectHospital expenditure
dc.subjecthospitals
dc.subjecthousehold size
dc.subjectHuman Resources
dc.subjectill health
dc.subjectimmunization
dc.subjectincentives for doctors
dc.subjectincome
dc.subjectincome countries
dc.subjectincome groups
dc.subjectinequities
dc.subjectinfant
dc.subjectinfant mortality
dc.subjectinfant mortality rate
dc.subjectinformal sector
dc.subjectinformation systems
dc.subjectinpatient care
dc.subjectInstitutional Capacity
dc.subjectintegration
dc.subjectInternational Cooperation
dc.subjectLife expectancy
dc.subjectLife expectancy at birth
dc.subjectlive births
dc.subjectlocal governments
dc.subjectmarketing
dc.subjectMaternal Mortality
dc.subjectMaternal mortality rate
dc.subjectMaternal mortality ratio
dc.subjectmedia attention
dc.subjectMedia coverage
dc.subjectmedical doctor
dc.subjectmedical equipment
dc.subjectmedical ethics
dc.subjectmedical facilities
dc.subjectMedicines
dc.subjectmental hospitals
dc.subjectmidwives
dc.subjectmilitary personnel
dc.subjectMillennium Development Goal
dc.subjectMinistry of Health
dc.subjectmorbidity
dc.subjectMortality
dc.subjectNational Development
dc.subjectnational government
dc.subjectNational Security
dc.subjectNeonatal mortality
dc.subjectnurses
dc.subjectNutrition
dc.subjectoutpatient care
dc.subjectpatient
dc.subjectpatients
dc.subjectphysician
dc.subjectPhysicians
dc.subjectpopulation groups
dc.subjectpotential abuse
dc.subjectpregnant women
dc.subjectprenatal care
dc.subjectprimary care
dc.subjectprimary health care
dc.subjectprint media
dc.subjectprivate care
dc.subjectprivate doctors
dc.subjectprivate hospitals
dc.subjectprivate sector
dc.subjectPrivate spending
dc.subjectprogress
dc.subjectprovider payment
dc.subjectprovision of care
dc.subjectprovision of health care
dc.subjectprovision of health services
dc.subjectprovision of services
dc.subjectpublic awareness
dc.subjectPublic Expenditure
dc.subjectpublic health
dc.subjectPublic health expenditure
dc.subjectpublic health providers
dc.subjectpublic hospitals
dc.subjectpublic providers
dc.subjectpublic sector
dc.subjectpublic services
dc.subjectPublic spending
dc.subjectquality of care
dc.subjectquality of health
dc.subjectquality of services
dc.subjectradiology
dc.subjectreferral services
dc.subjectReimbursement rates
dc.subjectResearch Policy
dc.subjectrespect
dc.subjectrural areas
dc.subjectSafety Net
dc.subjectsanitation
dc.subjectsanitation facilities
dc.subjectSkilled birth attendance
dc.subjectSocial Health Insurance
dc.subjectsocial health insurance schemes
dc.subjectSocial Insurance
dc.subjectsocial marketing
dc.subjectsocial programs
dc.subjectSocial security
dc.subjectsocialization
dc.subjectspecific incentives
dc.subjectSpouse
dc.subjectsurgery
dc.subjecttelevision
dc.subjectTuberculosis
dc.subjectunder-five mortality
dc.subjectuniversal access
dc.subjectUniversal Health Insurance Coverage
dc.subjecturban areas
dc.subjecturban development
dc.subjectvaccines
dc.subjectwoman
dc.subjectworkers
dc.subjectWorld Health Organization
dc.titleThe Nuts & Bolts of Jamkesmas, Indonesia’s Government-Financed Health Coverage Program for the Poor and Near-Pooren
dspace.entity.typePublication
okr.date.disclosure2013-03-25
okr.date.doiregistration2025-05-05T11:51:47.237444Z
okr.doctypePublications & Research::Working Paper
okr.doctypePublications & Research
okr.globalpracticeHealth, Nutrition, and Population
okr.globalpracticeGovernance
okr.globalpracticeFinance and Markets
okr.globalpracticeHealth, Nutrition, and Population
okr.identifier.report74996
okr.language.supporteden
okr.region.administrativeEast Asia and Pacific
okr.region.countryIndonesia
okr.topicHealth, Nutrition and Population::Health Economics & Finance
okr.topicHealth, Nutrition and Population::Health Monitoring & Evaluation
okr.topicHealth, Nutrition and Population::Health Systems Development & Reform
okr.topicHealth, Nutrition and Population::Population Policies
okr.topicLaw and Development::Health Law
okr.unitHealth, Nutrition & Popultn Team (HDNHE)
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