Out-Of-Pocket Payment for Preventive  and Curative Health Care in Indonesia

Arief Rosyid Hasan1); Adang Bachtiar2); Cicilya Candi2); Syarif Rahman Hasibuan3)

doi:10.26911/FP.ICPH.09.2022.10

Authors

	Arief Rosyid Hasan1) 1)Doctoral Program of Public Health, Faculty of Public Health, University of Indonesia ~ Author
	Adang Bachtiar2) 2)Department of Health Policy Administration, Faculty of Public Health, University of Indonesia ~ Author
	Cicilya Candi2) 2)Department of Health Policy Administration, Faculty of Public Health, University of Indonesia ~ Author
	Syarif Rahman Hasibuan3) 3)Study Program of Health Promotion, Faculty of Public Health, University of Indonesia ~ Author

Abstract

Background: According to World Health Organization (WHO) National Health Acco�unt (NHA), out-of-pocket payment (OOP), also known as direct payment, for healthcare services in Indonesia is still high. In 2015-2019 the OOP accounted almost a third of the total healthcare expenditure. The OOP for healthcare incurred by households can result in financial catastrophes. This study aimed to estimate the level of OOP for curative and preventive cares in Indonesia.

Subjects and Method: This was a retrospective study using data from the 2016-2020 National Socio-Economic Survey. The share of OOP across household expenditure deci�les was calculated for both curative and preventive cares.

Results: The highest share of OOP for health services came from the lowest decile (3.26%) expenditure. The higher share of OOP for curative service came from the higher decile. The higher share of OOP for preventive service came from the lower decile.

Conclusion: In absolute term, the amount of OOP is higher for curative care than preventive care.