TY - JOUR
T1 - Analysis on the implementation of a health improvement project (Garbage Clinical Insurance) in Indonesia
T2 - a literature review
AU - Apriyanti, Efa
N1 - Publisher Copyright:
© 2018 Elsevier España, S.L.U.
PY - 2018/2
Y1 - 2018/2
N2 - Objective: Indonesia Medika has established “Garbage Clinical Insurance” (GCI), which enables the population below the poverty line (BPL) to obtain health insurance by donating their garbage to pay the premium. The objective of this paper was to critically examine the implementation of GCI in Indonesia by reviewing the background, effects, and sustainability of this program. Method: A literature search of studies related to GCI, other types of micro health insurance, and their applications in developing countries was conducted. Recent news (post 2014) related with the implementation of GCI was also consulted. Results: The literature revealed that the foundation of GCI was informed by the Declaration of Alma Ata with the ideal of making health care services accessible to everyone. Unlike most health insurance, the mechanisms of GCI seem less likely to trigger moral hazard among its beneficiaries. However, as a micro insurance program, the sustainability of GCI continues to be called into question. Conclusions: The critical analysis of the present study has highlighted the application of GCI, a micro health insurance initiative, and its relevance to Indonesia. GCI tended to work well as it was able to utilise Indonesia's social capital.
AB - Objective: Indonesia Medika has established “Garbage Clinical Insurance” (GCI), which enables the population below the poverty line (BPL) to obtain health insurance by donating their garbage to pay the premium. The objective of this paper was to critically examine the implementation of GCI in Indonesia by reviewing the background, effects, and sustainability of this program. Method: A literature search of studies related to GCI, other types of micro health insurance, and their applications in developing countries was conducted. Recent news (post 2014) related with the implementation of GCI was also consulted. Results: The literature revealed that the foundation of GCI was informed by the Declaration of Alma Ata with the ideal of making health care services accessible to everyone. Unlike most health insurance, the mechanisms of GCI seem less likely to trigger moral hazard among its beneficiaries. However, as a micro insurance program, the sustainability of GCI continues to be called into question. Conclusions: The critical analysis of the present study has highlighted the application of GCI, a micro health insurance initiative, and its relevance to Indonesia. GCI tended to work well as it was able to utilise Indonesia's social capital.
KW - Developing country
KW - Garbage Clinical Insurance
KW - Micro health insurance
UR - http://www.scopus.com/inward/record.url?scp=85045080678&partnerID=8YFLogxK
U2 - 10.1016/S1130-8621(18)30078-0
DO - 10.1016/S1130-8621(18)30078-0
M3 - Article
C2 - 29650198
AN - SCOPUS:85045080678
SN - 1130-8621
VL - 28
SP - 250
EP - 255
JO - Enfermeria Clinica
JF - Enfermeria Clinica
ER -