Ridwan Malik



During the period before fiscal year 1996197, there were several activities have been done relate to national health financing such as data collection, analyses, research, and report in Indonesia. The activities was done without coordination by many agencies, it were conducted by National Institute of Health Research and Development-MOH (NIHRD), Bureau of Planning, Bureau of Finance-MOH, Central Bureau of Statistic (BPS), Universities, beside by International Agencies (World Bank, WHO, UNDP etc.) The data and report document was an-uniform base on the objective of the activities. Since year 2001 have been established National Health Account Team which under coordination by Bureau of Finance-MOH. The task of the team is to collect national data on health finance, to analyze it and make a report for National and International purposes. It is expected in the future the health financing data and report will be uniform. Regarding In the year 2002 it was conducted the activities of Trend Analyses of Health Sector included the health financing as one of the subsystem of the health system. It has been completely analyzed the health financing and expenditures in the period between year 1990 to year 2000.

The methods to collect and analyses of the data were base on existing secondary data. The sources of data to be analyzed are: (1) the data which collected by NHA team: (2) the research report has been published; (3) conducted a new research; (4) recounting by estimation method if the data was not available.

The important results as follows: In the period between years 1990 to year 2000 the national health expenditure in nominal price was increased 10 times from Rp3,442,041 million in year 1990 to Rp35,416,959 million in year 2000. However, by using the fixed price the increasing will much lowest. Unfortunately analyses by using the fixed price was not conducted at this report due the fixed price in the period of 1990 to 2000 still in the process of data collecting. By using per capita per year the health expenditures was increased 8 times from Rp19,602,00 in the year 1990 to become Rp171,511,00 in the year 2000. However, by using US$ rate per capita per year it is only increased 1.73 times from USD 11.6 in the year 1990 to USD 20.01 in the year 2000. In the ten years period the percentage of the health expenditure to GDP in average was 2.21%, it was continuing increased every year from 1.85% in the year 1990 to 2.74% in the year 2000. Regarding the percentage of Government finance sources and Private sources, it was in average 27.55% from government sources and 712.45% from private sources.

Base on the data collection and analyses method can be estimated or scenario of trend of the health financing and expenditure after year 2000. It was suggested by using variables as follows:

Percentage of total health expenditures to GOP

  • Percentage of government sources and private sources
  • Estimation of government sources trend
  • Percentage of Central govemment sources (deconcentration) and local government sources (decentralization)
  • Seeking health behavior  of the community
  • Inflation of health goods and services

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Buletin Penelitian Sistem Kesehatan (Bulletin of Health System Research, ISSN 1410-2935. e-ISSN 2354-8738) published by Badan Penelitian dan Pengembangan Kesehatan, Kementerian Kesehatan Republik Indonesia

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