Proceedings of the Third Andalas International Public Health Conference, AIPHC 2019, 10-11th October 2019, Padang, West Sumatera, Indonesia

Research Article

Implementation of Integration West Sumatera Sakato Health Insurance Program Towards Universal Health Coverage

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  • @INPROCEEDINGS{10.4108/eai.9-10-2019.2297249,
        author={CH Tuty  Ernawati and Sri  Siswati and Donal  Ortega},
        title={Implementation of Integration West Sumatera Sakato Health Insurance Program Towards Universal Health Coverage},
        proceedings={Proceedings of the Third Andalas International Public Health Conference, AIPHC 2019, 10-11th October 2019, Padang, West Sumatera, Indonesia},
        publisher={EAI},
        proceedings_a={AIPHC},
        year={2020},
        month={7},
        keywords={health insurance sakato universal health coverage},
        doi={10.4108/eai.9-10-2019.2297249}
    }
    
  • CH Tuty Ernawati
    Sri Siswati
    Donal Ortega
    Year: 2020
    Implementation of Integration West Sumatera Sakato Health Insurance Program Towards Universal Health Coverage
    AIPHC
    EAI
    DOI: 10.4108/eai.9-10-2019.2297249
CH Tuty Ernawati1,*, Sri Siswati1, Donal Ortega1
  • 1: Department of Health Policy Administration Public Health School of Andalas University
*Contact email: ernawati.tuti@yahoo.co.id

Abstract

The study aims to describe and analyze the implementation of the integration of Sakato West Sumatra Health Insurance into the National Health Insurance through the Health Social Security Administrator (SSA) in West Sumatra Province to achieve Universal Health Coverage which is targeted to be realized in 2019. This study is qualitative research using secondary data and primary data with in-depth interviews, annual report data for the National Health Insurance program of the West Sumatra Provincial Health Office, Padang City Health Office, and Padang Pariaman District Health Office. The results of the Integration of Sakato West Sumatra health insurance into the National Health Insurance began in early January 2014. It was regulated by Governor Regulation number 50 of 2014, until the end of 2018 the achievement of National Health Insurance participants in West Sumatra was 78.2%, consists of 44.13% of participants National Health Insurance for Recipients of Contribution Assistance. From the indicators of communication, resources, deposition, and bureaucratic, these have not been done well where the results of integration that did not meet Universal Health Coverage. Conclusions from 19 districts/cities, only 5 of which have reached the UHC, it is necessary to take concrete steps or strategies to achieve UHC, make the control team effective and supervision increased coordination between the Provincial Government and Regency / City and Social Security Administrator (SSA).