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Dana Sehat as a Community Health Insurance, its Prosperity on Health Development in Indonesia (Dana Sehat JPKM dan Perkembangannya dalam Era Pembangunan Kesehatan di Indonesia)
The community-based prepaid health care programme known as 'Dana Sehat' has been known for a long time as one form of community based health activity. In the mid 1970s, the 'Dana Sehat' programme was one of the basic programmes of the Village Community Health Development or 'PKMD'. It is developed to improve health status of community members based on the principle of mutual self-help ('gotong royong') and done primarily by community members. They conduct a periodic meeting to discuss the health programme. At present, there are about 6,661 Dana Sehat managed by Village Community Resilience Institution (LKMD), 231 Dana Sehat by Village Cooperation (KUD), 2,854 Dana Sehat by School Community members (UKS/Pesantren), 594 Dana Sehat by Professional Groups, 204 Dana Sehat by NGO. Prepaid health care, which in the Health Law No. 23/1992 is termed 'Jaminan Pemeliharaan Kesehatan Masyarakat (JPKM)' or Managed Health Care. It is considered a national health care and financing strategy to make comprehensive quality health care accessible to the people, and the same time provide a method to stimulate, direct and control private sector involvement in health development. It is not merely a concept of managed health care, but also managed competition of health care. The management of 'Dana Sehat' are hoped to refer to 'Dana Sehat-JPKM' which is operated by a professional management. The organization of 'Dana Sehat-JPKM' at this level should be a corporate company and offers health benefit packages according to the description in the Health Law No.23/1992. This is called Basic Benefit Health Package, covering a comprehensive health care including hospitalization and emergency care.
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