1. Challenges and Opportunities for Future Public Spending
Investing in Indonesia’s Health
Challenges and Opportunities for Future Public Spending
Health Public Expenditure Review 2008

2. Indonesia’s Health System and Financing Challenges

3. Indonesians are living longer and child mortality has fallen dramatically

4. Indonesia’s Health System Challenges
Stagnating Health Outcomes
Geographic Inequalities
Under-funding
Inefficiencies (low utilization)
Financially Unsustainable
Limited Health Insurance Coverage
Weak Stewardship

5. Particular challenges remain in MDG related areas
Maternal mortality
Child malnutrition
Female literacy and access to clean water
Geographical disparities

6. Demographic transformation will demand a different, more expensive, health care system
Indonesia Indonesia 2025

7. Indonesia’s Health Financing Challenges
Ensuring Adequate Fiscal Space
Ensuring Adequate & Equitable Financing
Improving Efficiency in Provider Payment Systems
Enrolling Informal Sector Workers
Defining Basic Benefit Package
Developing Data for Decision Making (DDM)

8. 9 Ideas for Better Health Outcomes in Indonesia
Policy Options:
9 Ideas for Better Health Outcomes in Indonesia

9. 1. Make better use of existing resources, while also making more resources available in the medium term

10. 2. Increase spending on maternal health
Allocate more resources for referral and institutional deliveries

11. 3. Improve resource allocation for preventive care & allow sufficient resources for O&M

12. 4. Devote additional resources and attention to all major public goods that determine health outcomes

13. 5. Adjust DAU to provide incentives for local civil service reform and amend PP No. 55 to allow operational use of the DAK

14. 6. Increase coverage of the Askeskin Program

15. 7. Ensure financial sustainability of Askeskin by introducing cost-containment options

16. 8. Increase efficiency by including private providers in insurance schemes

17. 9. Improve reporting and budgeting systems as well as data availability and transparency

18. Thank You