Impact of National Health Insurance Policy towards the Implementation of Health Promotion Program at Public Health Centers in Indonesia


Creative Commons License

Nurmansyah M. I., KILIÇ B.

KESMAS-NATIONAL PUBLIC HEALTH JOURNAL, vol.11, no.3, pp.103-110, 2017 (ESCI) identifier identifier

  • Publication Type: Article / Article
  • Volume: 11 Issue: 3
  • Publication Date: 2017
  • Doi Number: 10.21109/kesmas.v11i3.1262
  • Journal Name: KESMAS-NATIONAL PUBLIC HEALTH JOURNAL
  • Journal Indexes: Emerging Sources Citation Index (ESCI), Scopus
  • Page Numbers: pp.103-110
  • Keywords: Health promotion program, national health insurance, public health center
  • Dokuz Eylül University Affiliated: Yes

Abstract

The National Health Insurance (NHI) Program was implemented in Indonesia on January 1st 2014. This program definitely brings some changes into managerial aspect in public health center (PHC). This study aimed to determine an impact of NHI policy in the implementation of health promotion programs at PHC in South Tangerang City, Indonesia. This study was conducted using qualitative method during February and March 2016. The impact of NHI is seen on policy, budget, equipment, human resource and implementation of health promotion program. With purposive sampling method, six policy makers, eight service providers and eight service users were selected for in-depth interview. 17 documents were analyzed. Observation was conducted at four selected PHC's. Data analysis used thematic content analysis. There was no difference of PHC's functions before and after NHI period. Budget expended for health promotion programs increased after NHI was implemented which could represent an opportunity for PHC to innovate, procure materials and implement better health promotion programs. Capitation budget which could be used for executing health promotion program and some recently implemented health promotion programs in the NHI era evidences that NHI policy has a positive impact on the implementation of health promotion programs at PHC.