PRIVATE SECTOR HEALTH CARE IN INDONESIA - Health Systems ...

etween PKBI and the District Health Office. In 2000-2002, PKBI was involved with the District HealthOffice in monitoring activities for JPSBK (Jaminan Pengaman Sosial Bidang Kesehatan) funded byUNFPA. The PKBI had funding from the British Council to be involved in these activities.There is a working relationship between PKBI and Askes-Private but none with Jamkesmas and Gakin.The following are the cost and service fees for the following:1. IUD insertion: Rp 150,0002. Vasectomy: Rp 300,0003. Implant: Rp 250,0004. Pill: Rp 5,0005. Injection: Rp 20,000There has been a decline in the use of contraceptives. This is being attributed to the low number and/orabsence of a cadre.PKBI conducts outreach activities. It has 10 staff who visit villages every month to do IEC activities tomotivate community to use contraceptive. However, it feels that they need more staff to reach out to thecommunity. It used to work with FP field staff/ Petugas Lapangan Keluarga Berencana (PLKB) fromBKKBN but now the number of FP field staff decreased since there is no BKKBN representative in thedistrict.2.19 Hospital and Consumer InformationThe Team visited two hospitals in Bandung City. The hospitals were Advent Hospital and CahyaKawaluyan Hospital:The Adventist Group in Indonesia comprises of hospitals and clinics all across the archipelago. There are60 clinics nationwide.The Adventist Hospital in Bandung is a 220 bed secondary hospital which is considered by the public asone of the top hospitals in West Java. It accepts Gakin patients. It does not, however, receive Askes andJamkesmas patients because Askes said it had enough providers already. Gakin reimbursement fromDistrict Health Office takes three months.Sixty percent of patients of Adventist Hospital in Bandung are paying out-of-pocket. Forty percent arefrom companies on self-insurance and private insurance companies (e.g. Allianz, Manulife, AIA, AEA).The income of Adventist Hospital in Bandung on Saturdays is pooled for charity and is used for theircharity clinic. During Thursdays at their charity clinic, patients pay Rp 10,000 to include consultation andmedicines.Full-time physician staff of Adventist Hospital in Bandung includes an Internist, Surgeon,Obstetrician/Gynecologist, Pediatrician, and GP.For a normal delivery, the physician fees at Adventist Hospital are: Rp 2M for a specialist, Rp 800,000for a GP, and 460,000 for a midwife. These are just professional fees and do not include medicines androom and board accommodation which would be approximately Rp 200,000-500,000. A Charity Delivery90