Indonesia Who is helping and how

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IndonesiaWho is helping and how?

• Colleen Bish
• Nishika Vidanage
• April 26, 2007

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Indonesia

• A bit of a review
• Indonesias current population is 234,693,997
  people
  
• There are 17,508 islands that make up the country
  of Indonesia, 6000 of these islands are
  inhabited
  
• Land Use
• Arable Land 11.03
• Permanent Crops 7.04
• Other 81.93

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Indonesia

• RATES!! RATES!! RATES!! RATES!!
• Birth Rate
• 19.65 births/1,000
• Death Rate
• 6.25 deaths/1,000
• Infant Mortality Rate
• Total 32.14 deaths/1,000 live births
• Male 37.39 deaths/1,000 live births
• Female 26.63 deaths/ 1,000 live births
• Fertility Rate
• 2.38 children born/woman

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Indonesia

• Major infectious diseases
• Food or waterborne diseases
• Bacterial and protozoal diarrhea
• Hepatitis A E
• Typhoid Fever
• Vectorborne dieseases
• Dengue fever
• Malaria
• Chikungunya
• Avian Flu

"The Oracle" with tumeric and sandal paste
smeared on her facewas in a trance for about 15
minutes.
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Indonesia

• Contributing Factors in healthcare
• Indonesias GDP 264.4 billion
• Indonesia has to pay 6.9 billion in interest
  each year on its 61 billion in foreign debts
  
• GDP Consumption by sector
• Agriculture 13.1
• Industry 46
• Services 41

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Indonesia

• Total health care expenditure
• Per capita 113
• As percentage of GDP 3.1
• Indonesia GNP 174 Billion
• Total health care expenditure
• From the GNP 0.7
• About 3 per capita
• Unfortunately, the GNP has decreased due to the
  growing population and growing health problems.
  

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Health Insurance Indonesia

• Out of Pocket Expenditure as of Private
  Expenditure on Health 74.3
  
• Only 16 of people have insurance
• Ins Co Askes, Jamsostek
• Commercial Insurance
• All others forced to pay by
• Personal Savings
• Credit
• Borrowing from friends or neighbors

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Indonesia

• Government
• Emphasizes the development of human services as
  an area important to national development.
  
• Priority is given to education and healthcare.
• Policy of zero personnel growth to optimize
  efficiency has been adopted in the public sector
  
• Limiting its capacity to open new facilities and
  provide new services.

Secretary Rice With Indonesia President Susilo
Bambang Yudhoyono
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Indonesia

• Health Policies and Strategies
• A number of innovations have been introduced in
  many areas
  
• Manpower planning
• Nutrition
• Immunization
• Water supply
• Generic drugs
• Healthcare financing
• District health management

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Indonesia

• Implementation of the zero growth policy for
  civil servants has negatively affected the
  recruitment of doctors to serve in government
  health centers.
• MOH has introduced a scheme for employing doctors
  on contract, however this plan is not very
  attractive and does not provide job security.
  
• 1992- Health law was passed which mandates
  employers with more than ten employees to provide
  them with some sort of health benefits.

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Indonesia

• Intersectoral cooperation
• Implemented a global strategy on AIDS, the polio
  immunization campaign, rural water supply, and
  sanitation.
  
• Coordination meetings are organized by the
  Ministry of Welfare. Despite these efforts,
  negative sectoral attitude still remain, as well
  as resistance to working with NGOs and the
  private sector.

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Indonesia

• Managerial Process
• Ministry of Health
• Works to meet specific provincial considerations
  and needs.
  
• Bottom-up planning is encouraged through
  coordination meetings and each managerial and
  service level.
  
• The main constraint is the lack of managerial
  expertise at the various levels and willingness
  to assume responsibilities conferred through the
  decentralization process.

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Indonesia

• Community Action
• There has been an increase in community, NGO and
  private sector participation in health
  development.
  
• Examples of such participation include assistance
  in the implementation of national health
  programs
  
• Ex immunization, AIDS control, disease control

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Indonesia

• Health research and technology
• National Institute of Health Research and
  Development (NIHRD) is obliged to provide
  guidance for research and development activities
  within the scope of MOH.
• Research outcomes reported and utilized in
  following areas
  
• Communicable diseases, anemia, vitamin A
  fortification, protein-energy malnutrition
  (PEM).
  

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Indonesia

• Healthy Indonesia 2010 campaign
• Ministry of Health, Health Working Group,
  international donors
  
• Goals
• Reduce financial vulnerability
• Optimize participation and efforts of NGOs
• Decentralize health care system
• Improve allocation of resources promise
  resources to health programs
  
• Ensure access to affordable, quality care
• Engage stake holders to ensure accountability

HELP THE POOR!!
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Indonesia
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Indonesia

• Provision of irrigation, clean water, and basic
  sanitation shall be prioritized
  
• Construction of roads, bridges, and ports in
  isolated and poor regions
  
• Funding to the regions with low income, by using
  the instrument of Special Funding Allocation (DAK)

• Improve access and extension of learning
  opportunities for all school-age children,
  targeting mainly at those in poor, isolated, and
  remote areas.
• Improvement of quality and relevance of basic
  education of implementing educational standard
  national as reference and legal guidance for
  improving the quality of nation education, which
  also covers the quality of teachers and
  educational staff, the quality of school
  facilities and infrastructure, competency of the
  graduates, educational budget, and education
  evaluation.

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Indonesia

• Improving women's involvement in political
  process and public position
  
• Improving education and health services along
  with other development areas to improve women's
  quality of life
  
• Revising legal instruments to protect women
  against violence, exploitation, and discrimination

• Providing access to primary health services,
  basic obstetric care, nutrition improvement,
  revitalization of integrated service post,
  diseases control, revitalization of food and
  nutrition surveillance system.
• Accessibility to health protection programs for
  the poor, using insurance systems with the
  premiums being paid by the government.

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Indonesia

• Improve quantity, network, and quality of health
  centers
  
• Improve quality and quantity of health personnel
• Improvement of reproductive health services and
  family planning centers
  
• Making Pregnancy Safer campaign increase
  access and coverage to medical care for mothers
  and infants, encourage women empowerment
  
• Develop system of health insurance premiums paid
  by government

• Improve access and quality of reproductive health
  services
  
• Strengthened treatment and support for those with
  HIV/AIDS
  
• Create more referred hospitals and new rehab
  centers
  
• Provide full subsidy of ARVs, TB meds, and HIV
  testing reagents
  
• Roll Back Malaria campaign
• Insecticide treated bed nets
• Gerdunas (Nat. Integrated Movement for Control of
  Tuberculosis) promote acceleration of TB control
  and treatment
  
• Free medical exams, medicines, and treatment of
  TB to poor
  
• Tobacco Use high prices taxes, limitation of
  advertising, smoke free locations

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Indonesia

• Eradication of illegal logging
• Forest rehabilitation programs
• Promotion of alternative, efficient, eco-friendly
  energy sources
  
• Eliminate use of ODS by 2010
• Commit more efforts to providing safe drinking
  water
  
• Enhance community awareness of healthy lifestyle
  to promote sanitation
  
• One Million Houses Development National
  Movement
  
• Develop housing micro credit schemes

• Settlement of foreign debts through international
  agreements
  
• Support quota-free and duty-free access to export
  for less developed countries
  
• Global partnerships Debt swap for MDGs should be
  fully supported
  
• Participation in Non-alignment Movement Centre
  for South-South Technical Cooperation (NAM
  CSSTC)
  
• Partnerships with all developed and developing
  countries including all stakeholders, private
  sector, and civil society