STUDI PELAKSANAAN KEBIJAKAN PERATURAN DAERAH JAMINAN KESEHATAN DAERAH SUMATERA BARAT SAKATO DALAM MENGHADAPI UNDANG-UNDANG SISTEM JAMINAN SOSIAL NASIONAL DAN UNDANGUNDANG BADAN PENYELENGGARA JAMINAN SOSIAL TAHUN 2013

Abstract

ABSTRACT
Background: Local health insurance (Jamkesda) is an effort
made by the Government of West Sumatra province to improve
the accessibility of health services for the poor or near poor
who are not accommodated in the quota of public health
insurance (Jamkesmas). Jamkesda was implemented at the
start of 2007 until in 2011 using Governor Regulation West
Sumatera Number 40 and Number 41 in 2007. After running
for five years, there are still many problems in the
implementation. Later in 2011, the provincial parliament of West
Sumatera exercised its rights of initiative and enacted Local
Legislation Number 10 year 2011 regarding the implementation
of the Health Insurance West Sumatra Sakato. Afterwards,
the implementation of Jamkesda West Sumatera Sakato refers
to these regulations. The purpose of this study is to evaluate
the implementation of the new regulation of the Jamkesda West
Sumatera Sakato in 2013.
Methods : This study is a descriptive analysis with a qualitative
using case study. Data collection is done at the Provincial
Health Office / District Health Office / City selected, PT Health
Insurance, regional planning agency (Bappeda), and health
provider. Qualitative data were collected through in-depth
interviews, and secondary data were collected through
document review.
Result: The results of the study shows that implementation of
health insurance on West Sumatra Sakato still had not been
optimal, namely how the selection of the participants; a low
premium that is Rp.6.000/month/member by sharing funding
between provincial and district budgets / City budgets; the
benefits are not yet comprehensive enough; health providers
is still limited in the region of West Sumatra province and only
in public facilities; health workers has not been evenly
distributed; the team is still not functioning well; the monitoring
and evaluation at every level Administrative as well as
socialization of Jamkesda are not optimal; and the existing
policy has not referred to higher level policy.
Conclusion: Implementation of Jamkesda West Sumatra
Sakato does not go according to the existing policy. Among
others, the selection of membership, quality of health care,low
premiums, health facilities are limited, health workers have not
been evenly distributed, and the monitoring and evaluation
team has not been established as per the guidelines.
Suggestion: There is a need to evaluate Jamkesda West
Sumatera Sakato policy so that the policies are not
contradicting. There is a need to form a Monev Team for
Jamkesda so that all parties have a sense of shared
responsibility.
Keywords: Local Regulation of Jamkesda, health financing,
Provider Jamkesda.