National health insurance in indonesia: does it promote equity?

Utami, Rona (2018). 'National Health Insurance in Indonesia: Does it Promote Equity?' Paper presented at the annual conference of the HDCA, Buenos Aires, Argentina 2018.


We can't talk about inequality without talking about the poor. That kind of statement or opinion commonly comes to our mind. Although in fact, inequality harms all parts of the society, including the middle and upper class. This paper examines whether Indonesian national health insurance system promotes equity among all classes of society.

This paper examines the implementation of health insurance system using the capability approach. Specifically, this paper will analyze the application of capability approach in health field. This paper integrates both quantitative and qualitative methods. Quantitative data were taken from the Indonesian Demographic Health Surveys (IDHS), while qualitative data were taken from interview with some physicians, and also several books and articles related to Health Insurance, human right, and capability approach.

The main objective of health insurance is to create a well-integrated, sustainable, accessible, and equitable health system which provides comprehensive, high-quality care to all Indonesians. The fact shows that the number of coverage of health insurance in Indonesia is increasing, but the inequity of health services are still existing. The result of this research showed that the health insurance created the disadvantages for the physicians: doctors who are working at health centers and public hospitals are receiving low basic salary, so that the inequaty indeed harms also another class of society.

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