Center for Health Market Innovations (CHMI)

Programs

The Health Safety Net for Poor Families (JPK Gakin/SKTM)

last updated Mar 20, 2013

Overview

Implementing organization: 
District Health Office in DKI Jakarta Province, Sub -District Health Office In Jakarta Pusat, Sub-District Health Office in Jakarta Barat, Sub - District Health Office In Jakarta Utara, Sub-District Health Office In Jakarta Timur, Sub-District Health Office In Jakarta Selatan.
Implementation Partner(s): 
Hospital in DKI Jakarta Province (Jakarta Pusat area : Cipto mangunkusumo Hospital, Mintoharjo Navy Hospital, Gatot Subroto Military Hospital, Moh Ridwan Meuraksa Hospital, Tarakan Military Hospital, Pertamina Jaya Hospital, Kramat 128 Hospital, Moh Husni Thamrin Hospital, Sint Carolus Hospital, PGI Cikini Hospital, Islam Jakarta Hospital, Husada Hospital, Abdi Waluyo Hospital, Menteng Mitra Afia Hospital, Eva Sari Mother and Child Hospital, Dharma Jaya Mental Institution Hospital, Jakarta Eye Center Hospital, YPK Maternity Hospital, Gigi Mulut Hospital Faculty of Dentistry University of Indonesia , Jakarta Utara area : Koja Hospital, Pelabuhan Jakarta Hospital, Atmajaya Hospital, Satyanegara Hospital, Sukmul Sisma Medika Hospital, Jakarta Utara Islamic Hospital, Pluit Hospital, Pantai Indah Kapuk Hospital, Port Medical Center Hospital, Gading Pluit Hospital, Royal Progress Hospital, Prof Sulianti Saroso Infectious Diseases Hospital, Puri Medika Mother and child, Family Hospital, Hermina Podomoro Mother and Child Hospital, Jakarta Barat area: Pelni Hospital, Puri Mandiri Kedoya Hospital, Sumber Waras Hospital, Bhakti Mulia Hospital, Patria IKKT Hospital, manuella Hospital, Medika Permata Hijau Hospital, Cengkareng Hospital, Graha Medika Hospital, Jakarta Islamic Hospital, Kanker Dharmais Hospital, Harapan Kita Child and Mother Hospital, Jantung Harapan Kita Hospital, Chandera Special Hospital, Hermina Daan Mogot Mother and Child Hospital, Tangerang Hospital, Fatmawati Hospital, Cilandak Military Hospital, Pertamina Hospital, Tria Dipa Hospital, Prikasih Hospital, Jakarta Hospital, Agung Hospital, Setia Mitra Hospital, Zahirah Hospital, Budi Jaya Mother and Child Hospital, Jakarta Medical Center II, Persahabatan Hospital, Kesdam Jaya Cijantung Hospital, Sukanto police Hospital, Pusdikkes Hospital, Antariksa Air force Hospital, Pasarebo Hopital, Budi Asih Hospital, Haji Jakarta Hospital, Harapan Bunda Hospital, UKI Cawang Hospital, Harum Hospital, Jakarta Timur Islamic Hospital, Harapan Jayakarta Hospital, Kartika Pulomas Hospital, Mediros Hospital, Yadika Hospital, Lapas Klas I Cipinang Hospital, Bunga Rampai Mental Institution Hospital, Cibubur Hospital Drug Depence, Duren Sawit Hospital, Bogor Mental Institution Hospital, Ginjal Diatrans foundation, Bina Waluya Cardiac Center, Hermina Jatinegara Mother and Child)
Legal Status: 
State/government
Year Launched: 
2002
Stage: 
Existing/expansion stage
Income Level of Target Population: 
Bottom 20%

Funding

Primary Source of Funding: 
Government
Additional Source(s) of Funding: 
In-kind contributions
Funders: 
Local Government Revenues and expenditures (APBD)

Scale

Personnel Employed: 
100<
Number of Clients Served: 
In 2010 : 460,114
Number of Facilities Operated/Networked: 
85 Hospitals and 2 Hemodialisa services
Summary: 

In 2002, the government created the Health Safety Net for Poor Families (Jaminan Pemeliharaan Kesehatan Keluarga Miskin/JPK Gakin) program which is defined as a health care insurance system for poor families in the DKI Jakarta province.

Program goals/rationale: 

In principle, the JPK Gakin program is aimed to help the poor and disadvantaged community when seeking medical treatment in hospitals in all areas of DKI Jakarta.

Key program components: 

This program is provided using insurance principles or Community Health Care Insurance (Jaminan Pemeliharaan Kesehatan Masyarakat), and applies a cost and quality control system where the premiums are paid by the Provincial Government in DKI Jakarta. The people who qualify for JPK Gakin are the poor community that fit a certain criteria measured by the Center Bureau Statistics (CBS).

There are six criteria which the poor are qualified by: their house space (4 meter square), being unable to pay for treatments, not being capable of independent family planning, earning less than Rp. 600,000, presence of an illiterate family member 15 years old and above, and presence of a family member who dropped out of school.

Through these six criteria, the CBS verifies and determines if the person is qualified to become a JPK Gakin card holder. If the person already has a JPK Gakin card they are entitled to free health services, but this is different from the community that is unable to provide for themselves.

There are 85 hospitals that are serving patients in the province of DKI Jakarta, which is divided into five regions: Central Jakarta, North Jakarta, South Jakarta, West Jakarta and East Jakarta. This figure includes public and specialized hospitals.

Through this program, the poor and disadvantaged community in DKI Jakarta do not have to be afraid of getting sick because there is health insurance financing provided by the local government of DKI Jakarta.

This program will continue to operate in accordance with the laws SJSN No. 40, year 2004, section 17, fourth item, concerning the National Social Security System (Sistem Jaminan Sosial Nasional/SJSN), in which the contribution of this system is that the government will pay for the poor and disadvantaged community.

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