Kenapa Harus UHC?

Summary

This video features a conversation about the Universal Health Coverage (UHC) program in Indonesia, focusing on its implementation in the Tasikmalaya region. Hosted by JKN Tasikmalaya, the discussion covers the importance of UHC in ensuring equitable access to quality healthcare for all Indonesian citizens. The guest, Mr. Eri from BPJS Kesehatan, explains the benefits of UHC, its impact on financial protection, and the role of local government in enrolling low-income individuals. He also highlights the progress in Tasikmalaya, with the city achieving UHC coverage while other areas continue working toward full implementation.

Takeaways

• 😀 UHC (Universal Health Coverage) is a health insurance system designed to ensure that all citizens in Indonesia have access to affordable and quality healthcare services.
• 😀 UHC covers preventive, promotive, curative, and rehabilitative healthcare services, ensuring comprehensive care for all citizens.
• 😀 The main benefit of UHC is financial protection for citizens, helping to reduce the financial risks associated with healthcare expenses.
• 😀 UHC guarantees access to healthcare services across various levels, including primary health centers (Puskesmas), clinics, and hospitals, both public and private.
• 😀 The BPJS Kesehatan office in Tasikmalaya covers three regions: Tasikmalaya City, Tasikmalaya Regency, and Garut Regency.
• 😀 As of now, Tasikmalaya City has achieved 102.7% UHC coverage, with over 80% of the population actively enrolled in BPJS Health services.
• 😀 Tasikmalaya Regency and Garut Regency still face challenges in reaching full UHC coverage, but efforts are underway to achieve it soon.
• 😀 For those who cannot afford the health insurance premiums, they can apply for assistance through local government programs, specifically via the Social Services Department.
• 😀 In UHC-implemented areas, citizens can receive immediate access to healthcare services once registered, without waiting for months, unlike areas still working towards UHC.
• 😀 The main goal for the future is to ensure the sustainability of UHC, keeping participation rates high (above 75%) and expanding healthcare access in underserved regions.
• 😀 For UHC to succeed, there must be strong collaboration between the government, local authorities, and healthcare facilities, ensuring a comprehensive and effective health system.

Q & A

What is Universal Health Coverage (UHC) and why is it important?

UHC is a health insurance system that ensures all citizens have access to affordable, quality health services, including preventive, curative, and rehabilitative care. It is important because it protects people from financial risks associated with medical expenses and ensures that everyone, regardless of income, can access necessary healthcare.

How does BPJS Kesehatan contribute to UHC in Indonesia?

BPJS Kesehatan is the organization responsible for implementing UHC in Indonesia. It provides health insurance coverage to all citizens, ensuring they have access to a wide range of medical services at affordable costs. The program aims to achieve 100% coverage for all Indonesians, with varying levels of success across regions.

Which areas in Indonesia have already achieved UHC coverage?

As of the current data, the city of Tasikmalaya has achieved UHC, with participation exceeding 102% and an active participation rate of 80.3%. However, the neighboring regions of Kabupaten Tasikmalaya and Garut are still working towards achieving full UHC coverage.

What is the status of UHC in Tasikmalaya and its surrounding areas?

Tasikmalaya city has successfully implemented UHC with over 102% coverage, but Kabupaten Tasikmalaya and Garut still face challenges in achieving UHC. The goal is for these areas to reach UHC with active participation rates above 75% in the near future.

How can people who are financially disadvantaged access UHC?

People who cannot afford health insurance can be registered in the UHC program through local social services. The Dinas Sosial (Social Department) works with Dinas Kesehatan (Health Department) to recommend individuals for registration. In UHC areas, registration can lead to immediate activation of coverage, while in non-UHC areas, it may take until the next month.

What are the benefits of UHC for citizens?

UHC provides financial protection by covering the costs of health services, ensuring everyone can access medical care without worrying about the financial burden. It helps prevent people from going bankrupt due to medical expenses and promotes equal access to healthcare for all citizens.

How are regions that have not reached UHC yet supported by the government?

Regions that have not yet reached UHC are supported through ongoing efforts by local governments to improve health insurance participation rates. This involves increasing awareness and encouraging registration among residents, while also ensuring active participation from the community.

What is the process for registering in the UHC program for people in underserved areas?

In underserved areas, individuals who cannot afford healthcare must be registered by local authorities (Dinas Kesehatan), with recommendations from the Dinas Sosial. After registration, participants in UHC areas can be immediately activated, while those in non-UHC areas may experience a delay until the following month.

How does the government plan to increase UHC coverage in Tasikmalaya's surrounding regions?

The government plans to work closely with local authorities, including the Dinas Kesehatan and Dinas Sosial, to improve public awareness and participation in UHC programs. They are also focused on increasing the efficiency of the registration process and ensuring that health facilities are equipped to support a larger number of participants.

What is the main challenge for BPJS Kesehatan in reaching UHC across all regions?

The main challenge is achieving high levels of active participation, especially in regions that have not yet fully implemented UHC. This requires improving public awareness, overcoming financial barriers, and ensuring that local health services are accessible and well-equipped to handle the growing number of insured participants.