IMPACT EVALUATION OF INDONESIA'S JAMKESMAS PROGRAM ON OUT-OF-POCKET AND CATASTROPHIC HEALTH SPENDING: A PROPENSITY SCORE MATCHING APPROACH
EFENDI, KHANIFUDIN (Adv.: Robert Sparrow, Dr), Robert Sparrow, Dr
This paper examines the impact of the Jamkesmas program on the out-of-pocket (OOP) and catastrophic health spending. Jamkesmas is currently the largest social health insurance scheme in Indonesia covering 76.4 million poor and near-poor. Evaluation of this program is important to support the health policy in Indonesia and to achieve universal health insurance coverage by 2019. One of the objectives of Jamkesmas is to give financial protection, measured by OOP health spending, to the poor and near-poor. Using propensity score matching, the study finds that Jamkesmas targeting performance has a pro-poor pattern, even though there are some leakages to the non-poor. The paper also finds that Jamkesmas increases OOP in both urban and rural areas with larger increase in urban areas. Finally, the paper identifies that catastrophic health spending also increases in general, but decreases in Sulawesi and Sumatra regions.
Kata Kunci : Indonesia, health insurance, out-of-pocket health spending, catastrophic healt spending, impact evaluation, targeting, propensity score matching
