Chapter 1 Introduction No.
Research Questions
Hypothesis
Data & Information needed
The institutional sustainability can be assessed based on the following aspects:
• Institutional management of JAMKESDA
Data Collection Technique • Document study • Document study
• The legal framework of the scheme. • If there is institutional separation in JAMKESDA functions including function of regulation, cost management, and service management. Particularly, the institution that focuses on budget (cost) should be a relatively independent legal entity, non-profit oriented. JAMKESDA can be continued in financial aspect if the scheme is as follows: • Not only reliant on budget from Regional Budget Revenue and Expenditure (APBD) • The allocation of APBD for JAMKESDA scheme is not overwhelming and it is assumed that it can cover the scheme at least for next 5 years.
5.
What factors have contributed to different legislative outcomes of the JAMKESDA scheme policies?
JAMKESDA scheme policy can come about in three ways: • The Policy proposal comes from the executive
• General data of Regional Budget Revenue and Expenditure (APBD)
Source of Information • Regional Regulation/ Regional Head Regulation of JAMKESDA
• Interview key informant
• The officer of Health Insurance Management in regions.
• Document study
• Implementation of Regional Budget Revenue and Expenditure (APBD)/ pure APBD
• Data of Regional Budget Revenue and Expenditure (APBD) in Health sector • Expenditure allocation of JAMKESDA scheme • Unit cost of JAMKESDA that has been agreed
• Document study
• Demography data
• Document study
• Regional Bureau of Central Statistic (BPS), Regional Development Planning Board (Bappeda)
• Assumption on population data
• Document study
• Regional Bureau of Central Statistic (BPS), Regional Development Planning Board (Bappeda)
• Assumption on average inflation level
• Document study
• Regional Bureau of Central Statistic (BPS), Regional Development Planning Board (Bappeda)
• Information about the process of regional regulation making/ policy of JAMKESDA
• Interview of Key informant
• Head of Health Agency • JAMKESDA Officers • Experts who are involved in policy making
7
Data Analysis
assessed whether the scheme has also been included in the Long and Medium Term Development Plan document. 2. In the institutional analysis, scheme continuity is parallel with the institutional infrastructure level. The institutional infrastructure can be seen in term of to what extent theJAMKESDA functions are distributed? [What do you mean by ‘distributed’?] 3. In the sustainability analysis from the financial aspect will be conducted in several level, that are: • First, the analysis of Regional Budget Revenue and Expenditure (APBD) trend especially for JAMKESDA to identify whether JAMKESDA allocation is sufficiently allocated in APBD to cover all associated costs. The analysis will be better if it includes the correlation of regional fiscal capability. • Second, the analysis of projection of regional fiscal capability to cover existing JAMKESDA scheme. Up to this point, the methodology analysis can be investigated in detail in the book published by Inisiatif entitled “Budget Analysis of Regional Health Insurance”.