A consortium of TFHC Indonesia is set to carry out a feasibility study on how to strengthen Primary Health Care in Kulon Progo – an underdeveloped urban district of Yogyakarta which is home to 500,000 people. The study is part of the country’s new health care initiative – the right to Universal Health Coverage, which Indonesia is committed to securing in 2019. The consortium comprises BMA, Royal HaskoningDHV, Royal Tropical Institute (KIT), Berenschot International, Maastricht University, and Results inHealth is supported financially by the Netherlands Embassy in Jakarta.
The main objective of the study is to identify all the health care solution components that can enhance Universal Health Coverage (UHC) and give people access to basic care. The consortium will be working closely with the regional Health Office, the Ministry of Health and KP-MAK the Indonesian Centre for Health Financing Policy and Health Insurance Management at Gadjah Mada University.
The study will provide the basis to develop and implement a pilot project to strengthen Primary Health Care in Kulon Progo. Strengthening the first line of the health care system is a crucial element of UHC. The study aims to identify interventions by which the primary health care results can be improved. When the project is successful, it can be used as an approach for other districts and regions in Indonesia.
Millennium Development Goals
The pilot project will contribute significantly to the achievement of objectives targeted by the Millennium Development Goals (MDGs). These goals include combatting HIV/AIDS, malaria and other preventable diseases (MDG-6); reduction of the under-five mortality rate (MDG-4); reduction of the maternal mortality ratio and the rural-urban gap in skilled care during childbirth; increased access to reproductive health care; and reduction of the number of teenage pregnancies (MDG-3 and 5).
Universal Health Coverage Law
The Indonesian government enacted the implementation of Universal Health Coverage by law in 2013. The goal is to ensure all Indonesian people have access to health care services. Ensuring the right to Universal Health Coverage and upgrading the health care delivery structures requires an adequate health system. This will involve equitable and appropriate funding and payment mechanisms, appropriate levels of skilled personnel and sound policy and decision making at all levels.
