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The Healthcare Budget Dilemma - Seknas Fitra fileSource: LHP BPK Smtr I 2012 5 Ministeries who have...

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Press Conference Healthcare in the 2013 Budget Maulana Advocacy Coordinator at Seknas FITRA
Transcript
Page 1: The Healthcare Budget Dilemma - Seknas Fitra fileSource: LHP BPK Smtr I 2012 5 Ministeries who have the potential to damage state finances No Minstry Recommendations that are yet to

Press Conference

Healthcare in the 2013 Budget

MaulanaAdvocacy Coordinator at Seknas FITRA

Page 2: The Healthcare Budget Dilemma - Seknas Fitra fileSource: LHP BPK Smtr I 2012 5 Ministeries who have the potential to damage state finances No Minstry Recommendations that are yet to

1069.53451154.380903%

03%

03%

03%

1200.0

1400.0

Proportion of the healthcare budget

15.7431 18.7930 14.0888 15.3761 17.4930

628.8124697.4064

883.7219

1069.5345

02%

01% 02%

00%

01%

01%

02%

02%

03%

.0

200.0

400.0

600.0

800.0

1000.0

1200.0

2009 2010 2011 2012 2013

Tril

ion

(Rp)

anggaran kesehatan belanja pemerintah pusat %

Page 3: The Healthcare Budget Dilemma - Seknas Fitra fileSource: LHP BPK Smtr I 2012 5 Ministeries who have the potential to damage state finances No Minstry Recommendations that are yet to

The central government was never serious in itsprovision of healthcare services, which is indicated bythe minimal budget allocation towards healthcare. Sincethe enforced UU No. 36/2009 on healthcare, healthcarehas only been allocated on average 2% of APBN.However, the government is mandated to allocate 5% ofthe budget to healthcare.

In 2013, the government only allocated Rp 17.5 trillion ofthe budget, meaning that just 1.52% of centralgovernment expenditure or Rp 1,154.3 trillion wasallocated.

Only Rp 6.7 trillion was allocated for the Jamkesmasbudget, meaning that there was a decrease of Rp 755million in 2013 compared to 2012, when Rp 7.5 trillionwas allocated.

The central government was never serious in itsprovision of healthcare services, which is indicated bythe minimal budget allocation towards healthcare. Sincethe enforced UU No. 36/2009 on healthcare, healthcarehas only been allocated on average 2% of APBN.However, the government is mandated to allocate 5% ofthe budget to healthcare.

In 2013, the government only allocated Rp 17.5 trillion ofthe budget, meaning that just 1.52% of centralgovernment expenditure or Rp 1,154.3 trillion wasallocated.

Only Rp 6.7 trillion was allocated for the Jamkesmasbudget, meaning that there was a decrease of Rp 755million in 2013 compared to 2012, when Rp 7.5 trillionwas allocated.

Page 4: The Healthcare Budget Dilemma - Seknas Fitra fileSource: LHP BPK Smtr I 2012 5 Ministeries who have the potential to damage state finances No Minstry Recommendations that are yet to

On the other hand, the Ministry of Health is responsible for providingpoor health services, indicated by:

- A wasted budget; in 2013, the Ministry of Health budgeted Rp 57.4billion for the purchase of 265 official vehicles.

- Budget performance; The opinion of BPK in 2009-2010 TMP, 2011: WDP, 2012: WTP – DPP. BPKTA 2011 finding: The Ministry of Health ranks the highest in state

losses, at Rp 91.7 billion (7 cases). A budget of Rp 284.9 billion was not accounted for.- The performance of health services (BPK 2012 audit); The Jamkesmas program isn’t on target the membership database

isn’t accurate. The Jamkesmas budget doesn’t match the number of poor people.

On the other hand, the Ministry of Health is responsible for providingpoor health services, indicated by:

- A wasted budget; in 2013, the Ministry of Health budgeted Rp 57.4billion for the purchase of 265 official vehicles.

- Budget performance; The opinion of BPK in 2009-2010 TMP, 2011: WDP, 2012: WTP – DPP. BPKTA 2011 finding: The Ministry of Health ranks the highest in state

losses, at Rp 91.7 billion (7 cases). A budget of Rp 284.9 billion was not accounted for.- The performance of health services (BPK 2012 audit); The Jamkesmas program isn’t on target the membership database

isn’t accurate. The Jamkesmas budget doesn’t match the number of poor people.

Page 5: The Healthcare Budget Dilemma - Seknas Fitra fileSource: LHP BPK Smtr I 2012 5 Ministeries who have the potential to damage state finances No Minstry Recommendations that are yet to

No Ministry State Losses1 Ministry of Health 91.707.950.0002 Ministry of Labour and Transmigration 16.454.380.0003 Federal Police 15.015.990.0004 Ministry of Tourism and Creative Economy 13.990.040.0005 Ministry of Public Housing 10.030.220.000

Source: LHP BPK Smtr I 2012

5 Ministeries who have the potential to damage state finances

No MinstryRecommendations that are yet to be

followed up on from 2009-20131 Ministry of Finance 1.490.155.760.0002 Ministry of Communication 350.783.610.0003 Ministry of Health 284.965.690.0004 Ministry of Education 240.788.690.0005 Ministry of Public Housing 168.347.490.000

Source : LHP BPK Smtr I 2013

5 Ministeries who have the potential to damage state finances

Page 6: The Healthcare Budget Dilemma - Seknas Fitra fileSource: LHP BPK Smtr I 2012 5 Ministeries who have the potential to damage state finances No Minstry Recommendations that are yet to

Demand the government commit to increasing healthservices by carrying out the UU Health Mandate, andallocating 5% of the budget to healthcare. Demand the DPR’s Commission IX to comprehensively

evaluate the performance of the Ministry of Health,particularly in terms of budget performance.

Demand the government commit to increasing healthservices by carrying out the UU Health Mandate, andallocating 5% of the budget to healthcare. Demand the DPR’s Commission IX to comprehensively

evaluate the performance of the Ministry of Health,particularly in terms of budget performance.


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