Monthly Discussion LD FEB UI: JKN’s Impact on Family Planning Is Still Minimal
DEPOK – (27/5/2022) Demography Institute FEB UI has a new program entitled population dynamics discussion with various themes held every month. This monthly discussion is expected to be a means to strengthen the network between stakeholders, population experts, and researchers. The first session of the discussion was held on Friday (27/5) with the theme “The Effect of National Health Insurance (JKN) coverage on paying out-of-pocket (OOP) for family planning services in Indonesia.”
This discussion aimed to examine whether the JKN program affects family planning programs, whether it reduces or vice versa. Dr. Abdillah Ahsan, the Head of the Demography Institute of FEB UI, emphasized that this is important because the family planning program has a role in overseeing the population transition. The discussion forum moderated by Dr. Abdillah Ahsan, S.E., MSE, presented Nadhila Adani S.E., M.Sc. as ThinkWell Institute’s analyst in economics.
At the beginning of the discussion, Nadhila Adani S.E., M.Sc. presented some data and facts related to family planning issues in Indonesia. Starting with the implementation of family planning services, it was explained that after JKN was implemented in 2014, family planning services began to be included as promotive and preventive benefits. Unfortunately, the JKN program is still not considered optimal for increasing family planning service utilization coverage.
The speaker also explained the prevalence of modern contraceptive and post-coital family planning. Regarding the prevalence of modern contraceptive use during the JKN era, the most widely used contraceptive methods were injections, pills, and implants. During this era, the female mCPR was also relatively stagnant at around 57%, with the RPJMN 2020 target of 61.8%. On the issue of the prevalence of post-coital family planning use, during the JKN era, there was an increase of around 7% in the priority of using injectable family planning, and post-coital family planning was mostly done at government health facilities compared to midwife practices.
Based on the results of estimating the effect of JKN on OOP expenditure, in aggregate JKN has been immensely helpful. People with JKN spent 6% less OOP than those without JKN (in the short term), and the effect of JKN for PBI participants was also assessed to save 22% for long-term methods, and for non-PBI participants, it saved 2%. However, it was also revealed that four significant issues still surround the implementation of family planning in the JKN program: regulation, financing, socialization, and human resource capacity.
Based on field findings, Nadhila also explained several issues that still surround the JKN linkage with family planning, including the need for clarification starting from the national level to avoid misinterpretation at the regional level. Then, the regions need to synchronize funds from the central BOKB (Family Planning Operational Assistance) to the central BKKBN. There is also a need to provide OPD (Regional Apparatus Operations) resources for family planning which is realized through the synergy of the Family Planning Program and Family Planning Field Officers. Lastly, there is a need for unique human resources to handle claims to BPJS Kesehatan, solutions related to long-term methods, and the KBPP (Postpartum Family Planning) program, which still has negative issues.
For further information, please contact:
Finda Prafianti, S.Sos.
Corporate Secretary of Demography Institute FEB UI
corsec@ldfebui.org
08119692610