The Impact of National Health Insurance Policy to the Implementation of Health Promotion Program on Public Health Center in Indonesia
Abstract: National Health
Insurance (NHI) Program has been implemented in Indonesia on January 2014. That
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. As many as 17 documents were analyzed.
Observation conducted at four selected PHC. 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 had increased after NHI
implemented which it could be opportunity for PHC to make innovations, 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 NHI era becomes an evidence that NHI
policy has a positive impact in the implementation of health promotion program
at PHC
Keywords: Health Promotion
Program; national health insurance; public health center
Author: Mochamad Iqbal
Nurmansyah, Bulent Kilic
Journal Code: jpkesmasgg170001
