Indonesia has committed itself to Universal Health Coverage (UHC), and has started this approach in January 2014. A Dutch consortium is executing a feasibility study how to strengthen Primary Healthcare in Kulon Progo, one of Yoktakarta’s districts and home to 500,000 people – within the context of Universal Health Coverage. The consortium to carry out this feasibility study consists of Royal HaskoningDHV, KIT (Royal Tropical Institute), Berenschot, Maastricht University, Simed and BMA. The study is financially supported by the Embassy of the Kingdom of the Netherlands. KIT’s Jurrien Toonen visited Kulon Progo, Indonesia earlier this month.
The main objective of the feasibility study is to identify all solution components that can enhance UHC in accessing basic care for approximately 500,000 people in Kulon Progo, an under-developed urban district with a rather poor healthcare system on Java. The consortium will be working closely with the regional Health Office in Kulon Progo District, the Ministry of Health, and the Indonesian Centre for Health Financing Policy and Health Insurance Management KP-MAK.
The feasibility study will result in a solid and realistic plan which will be used for the implementation of a concrete pilot project in the district. When successful the plan can be used as an approach for other districts and regions Indonesia.
Millennium Development Goals
The pilot project will significantly contribute to achieving objectives as targeted by the Millennium Development Goals (MDGs), such as to combat HIV/AIDS, malaria and other preventable diseases (MDG-6), reducing the under-five mortality rate (MDG-4), reducing the maternal mortality ratio, reducing the rural-urban gap in skilled care during childbirth, increasing access to reproductive health care and reducing the number of teenage pregnancies (MDG-3 and 5).
Universal Health Coverage Law
The Indonesian government has enacted the implementation of Universal Health Coverage by law in 2013. The goal is to ensure that all Indonesian people obtain and have access to health services. Ensuring the right to Universal Health Coverage and upgrading the healthcare delivery structures need adequate health system strengthening, including equitable and appropriate funding and payment mechanisms, appropriate levels of skilled personnel and sound policy- and decision-making at all levels.
Task Force Healthcare Indonesia Working Group
The Dutch consortium members are part of the Task Force Health Care Indonesia Working Group that consists of 14 companies and universities, all with extensive experience in health care development, knowledge transfer, medical systems, design and master planning. The members are KIT, Simed International, Royal HaskoningDHV, Berenschot ,Maastricht University, Philips HealthCare,, Deerns, Results in Health , BMA, Cordaid, Meduprof-S, Delft Imaging Systems, Erasmus MC and Hospitainer. The involved Indonesian partners are: KP-MAK (Centre for Health Financing Policy and Health Insurance Management), Philips Indonesia, Royal HaskoningDHV Indonesia, Regional Health Office Kulon Progo and the University Gaja Madah.