The World Bank said, the allocation of the health sector still very low compared to a similar allocation of countries with similar income levels. World Bank Country Director for Indonesia Joachim von Amsberg in Jakarta, Wednesday (27 / 5) reports reveal that international organizations are excluded from the total expenditure that year, spending in the sector is not more than 2 percent of gross domestic product (GDP) the national.
Of the total national expenditure of 2 percent of GDP, half is allocated from the government and the third source of allocated health expenditure of households in which the contribution government's own spending only 5 percent of the total state budget expenditure.
"Indonesia still faces significant challenges in developing and implementing health financing reform that effective and sustainable," he said. The lack of national health spending, based on reports of financial institutions based in Washington DC, the U.S., Indonesia to provide new access to basic health care in all communities through the new 8000 health centers, health centers parlormaid 22200, 5800, and mobile health clinics in the last 40 years.
On the other hand, the utilization ratio of the number of hospital beds is also a national of 60 percent, far lower than countries with similar income levels. Even on the side of health workers, health workers still relatively small compared to other countries that have a number of health workers with the quality and efficiency is better.
Refer to the conditions, note the World Bank, despite relatively high national health improved, but still behind compared to the achievement of other countries. The World Bank also notes, the age of life expectancy increased from 52 years into 70 years, infant mortality before one year decreased compared to 30 so 100 of 1000 babies, fertility decline in the number of 4.7 children per woman to 2 children per woman.
Even though there is this remarkable improvement, according to Joachim, Indonesia is not the achievement seluar regular achievement of neighboring countries. Even for some of the results of health, such as maternal mortality rate, Indonesia is still far below the achievements of countries that have a high income and health expenditure is comparable.
Meanwhile, the government health budget is allocated Rp18, 8 trillion, or 2.49 percent of the total national budget in 2008 sedangakan in the year 2009, health budget increase to 2.64 percent of the total national budget.
Analysts of the World Bank Health Pandu Harimurti states, the government should start thinking about the allocation of health spending more suitable, given the level of funding so the need is greater than at this time.
"But more important is the effectiveness of the expenditure has been allocated," he said.
According to him, the increase in domestic welfare of the people making the population of the old age will have increased the projected sharp climb year 2025.
"This means, the needs of the population health level will increase sharply. For that, the government seems to need to do a fiscal analysis of the availability of space in the financing system of health insurance available," he said.
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