Evidence map›Paper›PMID 38605912›Full record

ArticleGates open research2023

National health insurance contribution to family planning program funding in Indonesia: A fund flow analysis.

Amirah Ellyza Wahdi, Edward Sutanto, Althaf Setyawan, Yufan Putri Astrini, Nadhila Adani, Halimah Mardani, Nirwan Maulana, Anooj Pattnaik, Trihono Trihono, Siswanto Agus Wilopo

Open access · goldAbstract read
In one paragraph

Article in Gates open research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.1field-weighted citation impact, top 24% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 citations in OpenAlex.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 2 countries.

Amirah Ellyza WahdiDepartment of Biostatistics, Epidemiology, and Population Health, Faculty of Medicine, Public Health & Nursing, Universitas Gadjah Mada, Sleman, Special Region of Yogyakarta, 55281, Indonesia.ORCID 0000-0002-1595-5964
Edward SutantoThinkWell, Central Jakarta, Jakarta Special Capital District, 10350, Indonesia.ORCID 0000-0002-8852-5770
Althaf SetyawanCenter for Reproductive Health, Universitas Gadjah Mada, Sleman, Special Region of Yogyakarta, 55281, Indonesia.
Yufan Putri AstriniCenter for Reproductive Health, Universitas Gadjah Mada, Sleman, Special Region of Yogyakarta, 55281, Indonesia.
Nadhila AdaniThinkWell, Central Jakarta, Jakarta Special Capital District, 10350, Indonesia.
Halimah MardaniThinkWell, Central Jakarta, Jakarta Special Capital District, 10350, Indonesia.
Nirwan MaulanaThinkWell, Central Jakarta, Jakarta Special Capital District, 10350, Indonesia.
Anooj PattnaikThinkWell, 1519 York Road, Lutherville, Maryland, 21093, USA.
Trihono TrihonoThinkWell, Central Jakarta, Jakarta Special Capital District, 10350, Indonesia.
Siswanto Agus WilopoDepartment of Biostatistics, Epidemiology, and Population Health, Faculty of Medicine, Public Health & Nursing, Universitas Gadjah Mada, Sleman, Special Region of Yogyakarta, 55281, Indonesia.ORCID 0000-0003-1284-7228
Dewan Kesenian Jakarta · IDUniversitas Gadjah Mada · IDCurePSP · US

Funding

Gates Foundation INV-007094
6 · The paper itself

Abstract

Background: Launched in 2014, Indonesia's national health insurance system (JKN) aimed to provide universal health coverage, including contraceptive services, to its population. We aim to evaluate the contribution of JKN to the overall spending for the family planning program in Indonesia. Methods: Data from the Indonesian Demographic Health Survey, Survey on Financial Flows for Family Planning, Indonesia Motion Tracker Matrix, World Population Prospect, and Indonesian ministries' budget accountability reports were entered into the CastCost Contraceptive Projection Tool to define budgetary allocation and spending for the family planning program at the national level in 2019. Results: Indonesia's family planning program in 2019 was financed mostly by the national budget (64.0%) and out-of-pocket payments (34.6%). There were three main ministries responsible for family planning financing: the National Population and Family Planning Board (BKKBN) (35.8%), the Ministry of Finance (26.2%), and the Ministry of Health (2.0%). Overall, JKN contributed less than 0.4% of the funding for family planning services in Indonesia in 2019. The majority of family planning spending was by public facilities (57.3%) as opposed to private facilities (28.6%). Conclusion: JKN's contribution to funding Indonesia's family planning programs in 2019 was low and highlights a huge opportunity to expand these contributions. A coordinated effort should be conducted to identify possible opportunities to realign BKKBN and JKN roles in the family planning programs and lift barriers to accessing family planning services in public and private facilities. This includes a concerted effort to improve integration of private family planning providers into the JKN program.

Indexed as

Family Planning ServicesFinancial ManagementContraceptive AgentsHealth PlanningHumansIndonesiaNational Health ProgramsContraceptive AgentsFamily planninghealth budgethealth financingIndonesianational health insuranceout-of-pocket paymentprivate facilitiesuniversal health coverage

Identifiers

PMID38605912
PMCPMC11006955
OpenAlexW4390985870

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.