A Study on the Implementation of Jampersal Policy in Indonesia

Indonesia launched Jampersal in 2011, a nationwide program to accelerate the reduction of maternal and newborn deaths. The program was financed by central government revenues and provided free and comprehensive maternal and neonatal care with an emphasis on promoting institutional deliveries. Jampersal providers were public and enlisted private facilities at the primary and secondary levels. In 2013, the World Bank and the Center for Family Welfare, University of Indonesia conducted a qualitative and quantitative study to assess the implementation and impact of the program in Garut District and Depok Municipality in West Java Province. The study found that Jampersal utilization was highest among women who were least educated, poor, and resided in rural areas. Utilization was also high among women with delivery complications. The study showed Jampersal only had an impact where institutional delivery coverage was still low such as in Garut District. In this district, women were 2.4 times more likely to have institutional deliveries after Jampersal. The finding suggests implementation of Jampersal policy may have to be adjusted according to the utilization pattern for efficiency and effectiveness. The government discontinued Jampersal with the launching of the National Health Insurance Program (JKN) on January 1, 2014. The study s findings indicate the merit in reevaluating the policy to terminate the program, given that Jampersal helped increase institutional deliveries while voluntary participation in JKN remains low.

Bibliographic Details

Main Authors:	Achadi, Endang L, Achadi, Anhari, Pambudi, Eko, Marzoeki, Puti
Language:	English en_US
Published:	World Bank Group, Washington, DC 2014-09
Subjects:	ACCESS TO HEALTH CARE, ACCESS TO HEALTH SERVICES, AMBULANCE, ANESTHESIA, ANTENATAL CARE, BIRTH ATTENDANT, BIRTH ATTENDANTS, C-SECTION, CANCER, CENTER FOR HEALTH, CESAREAN SECTION, CESAREAN SECTIONS, CHILD HEALTH, CHILD HEALTH CARE, CHILD MORTALITY, CHILD-BEARING, CHILDBEARING, CHILDBIRTH, CLINICS, COMMUNITIES, COMMUNITY ACTIVITIES, COMPETENCIES, COMPLICATIONS DURING PREGNANCY, CONTRACEPTION, CONTRACEPTIVES, DELIVERY CARE, DELIVERY COMPLICATIONS, DESCRIPTION, DEVELOPMENT PLANNING, DISEASES, DISTRICTS, DOCTOR, DOCTORS, DRUGS, EDUCATED WOMEN, ELDERLY, EMERGENCY CARE, EXPOSURE TO INFORMATION, FAMILIES, FAMILY MEMBERS, FAMILY PLANNING, FAMILY PLANNING SERVICES, FAMILY WELFARE, FINANCIAL MANAGEMENT, FIRST PREGNANCY, FOCUS GROUP DISCUSSIONS, GENERAL PRACTITIONERS, GOVERNMENT SUPPORT, GYNECOLOGY, HEALTH CARE, HEALTH CARE FACILITIES, HEALTH CENTERS, HEALTH FACILITIES, HEALTH FINANCING, HEALTH INSURANCE, HEALTH ORGANIZATION, HEALTH PROFESSIONAL, HEALTH PROVIDERS, HEALTH RESEARCH, HEALTH RISKS, HEALTH SECTOR, HEALTH SERVICE, HEALTH SERVICE DELIVERY, HEALTH SERVICE PROVISION, HEALTH SERVICES, HEALTH SYSTEM, HOME AFFAIRS, HOME DELIVERIES, HOME VISITS, HOSPITAL, HOSPITAL BEDS, HOSPITAL MANAGEMENT, HOSPITAL PATIENTS, HOSPITAL SERVICES, HOSPITALS, HOUSEHOLDS, HOUSING, HUMAN DEVELOPMENT, HUMAN RESOURCES, ILLITERACY, ILLITERACY RATE, ILLNESS, IMMUNIZATION, INCOME, INDEXES, INSURANCE SCHEMES, INTRAUTERINE DEVICE, IUD, LABOR MARKET, LACK OF KNOWLEDGE, LIFE EXPECTANCY, LIVE BIRTHS, LOCAL GOVERNMENTS, LOW BIRTH WEIGHT, MARKETING, MASS MEDIA, MATERNAL CARE, MATERNAL DEATHS, MATERNAL HEALTH, MATERNAL HEALTH SERVICES, MATERNAL MORTALITY, MATERNAL MORTALITY RATIO, MATERNITY CARE, MEDICAL STAFF, MEDICAL TREATMENT, MEDICINE, MIDWIFE, MIDWIFERY, MIDWIVES, MILITARY HOSPITALS, MILITARY PERSONNEL, MILLENNIUM DEVELOPMENT GOALS, MINISTRY OF HEALTH, MORBIDITY, MORTALITY, MOTHER, MOTHERS, MULTIPLE PREGNANCIES, NATIONAL DEVELOPMENT, NATIONAL HEALTH INSURANCE, NATIONAL LEVEL, NEONATAL CARE, NEONATAL CONDITIONS, NEONATAL HEALTH, NEWBORN, NEWBORN HEALTH, NEWBORNS, NURSES, NUTRITION, OBSTETRIC COMPLICATIONS, OCCUPANCY, OCCUPANCY RATES, OCCUPATION, PATIENT, PATIENT CARE, PATIENTS, PHARMACISTS, PHO, PHYSICIANS, PILLS, POLICY DECISIONS, POLICY FORMULATION, POLITICAL SUPPORT, POSTNATAL CARE, POSTPARTUM CARE, PPM, PREGNANCIES, PREGNANCY, PREGNANCY COMPLICATIONS, PREGNANT WOMEN, PRIMARY CARE, PRIMARY SCHOOL, PROBABILITY, PROGRESS, PROVIDER PAYMENT, PUBLIC HEALTH, PUBLIC HOSPITALS, QUALITATIVE APPROACH, QUALITY ASSURANCE, QUALITY OF CARE, REDUCING MATERNAL MORTALITY, REFERRAL SERVICES, REFERRAL SYSTEM, RURAL AREA, RURAL AREAS, SCHOOL YEARS, SECONDARY SCHOOL, SECONDARY SCHOOLS, SERVICE DELIVERY, SERVICE DELIVERY POINTS, SERVICE PROVIDER, SERVICE PROVIDERS, SERVICE PROVISION, SERVICE QUALITY, SERVICE UTILIZATION, SKILLED BIRTH ATTENDANCE, SKILLED BIRTH ATTENDANTS, SOCIAL HEALTH INSURANCE, SOCIALIZATION, SOCIOECONOMIC STATUS, SPECIALIST, SPECIALISTS, SPOUSE, SURGERY, SUSTAINABLE DEVELOPMENT, TRADITIONAL BIRTH ATTENDANTS, TRANSPORTATION, UNFPA, UNITED NATIONS POPULATION FUND, URBAN AREA, URBAN AREAS, VAGINAL DELIVERY, VILLAGES, WOMAN, WOMEN OF CHILD-BEARING AGE, WOMEN OF CHILDBEARING AGE, WORKERS,
Online Access:	http://documents.worldbank.org/curated/en/2014/09/20286598/study-implementation-jampersal-policy-indonesia https://hdl.handle.net/10986/20740
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