THE CONTEXT OF POLICY IMPLEMENTATION JAMKESDA IN FRAMEWORK NATIONAL UNIVERSAL HEALTH COVERAGE

Abstract

Background: Implementation of the National Social Security System with the National Health Insurance began to be implemented in January 2014 for ensure health of the entire society gradually, known as the Universal Health Coverage. On the other side, some local governments still maintain their own organized the Regional Health Security (Jamkesda). Thus the question arises, how to position the organization of this Jamkesda if the government has committed to ensure the entire population? Therefore, it is necessary to study how the context of implementation Jamkesda in the framework universal health.

Method: This paper used a study literature from various sources related to policies of the Jamkesda and the National Health Insurance. Analysis of policy which has done in context of the implementation Jamkesda from the legal aspects, situational and structural.

Results: Implementation Jamkesda basically not violate the policy context of National Social Security System Law. The Law No. 32 of 2004 became the basis for local governments to develop Jamkesda as a form of responsibility in carrying out development in the field of health. From the situational aspect, condition coverage JKN participants who have not reach the entire population became reinforcement and encouragement local government to maintain Jamkesda with consideration to serve people who do not guaranteed to Universal Health Coverage achieved in 2019. From the structural aspect, need to adjust the type of service Jamkesda at JKN already include universal population. The local governments can add services benefit in the form of complementary and or supplementary so there is no duplication.

Conclusion: The context of Jamkesda policy implementation still need to be implemented in framework of national health insurance based on consideration of the legal aspects, situational and structural. It’s recommended to local governments for considering of integration the Jamkesda into JKN, so that implementation can be more sustainable and consistent with national programme.

Keywords: Policy, Insurance, Jamkesda, Universal Health Coverage