Magazine Articles
Good Governance dalam Pelayanan Kesehatan di Indonesia: StudI Kasus di Bandung dan Makassar, Indonesia
Good governance in health financing is very important in line with the government policy to assist the poor people in accessing the afffordable health care services. The importance of governance in health financing lies in the fact the Indonesian Government provide health services scheme for about 74 millions poor people. Local government of Bandung City as well as Makassar City are among the local government that provide local health security (Jamkesda) to cover those who are not included in the national community health security (Jamkesmas). This paper is written based on a study on “Poverty and Access to Health Care Services” conducted in Bandung and Makassar in 2009 and 2010 respectively. The study found that both cities has implemented a policy related to health insurance for the poor people. The program was part of the mayor’s campaign at the time of election for the mayor. The program help many local people to get access to health care services. Unfortunately, there are still many poor people especially the migrants who do not possess the local identity card excluded to the program. Lack of insurance coverage, high cost, have resulted in use of unsupervised self-treatment or substandard care. Their health seeking behaviour had led to suboptimal health consequences including delayed treatment of illnesses. Findings from this study highlight the importance of reducing institutional barriers to health services and providing affordable health care to this population.
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