Policy analysis of the expansion of ‘social security health of South Sumatera Semesta' towards universal health coverage

Background: The ‘Jamsoskes Sumsel Semesta’ is a local program that offered free medical treatment for health services for the people of South Sumatra who do not have health insurance. Meanwhile, starting in 2014, the national Government will implement the Universal Health Coverage as mandated by the Social Security Law. As insurance have a principle of indemnity where there should not be a duplicate social security, there should be no society that is assured by the two programs with the aim of speculating to make a profit. This study aims to explore the implementation of the expansion plan of ‘Jamsoskes Sumsel Semesta’ to pave the way to Universal Health Coverage in 2014 in South Sumatera. Methods: This study was a qualitative policy research with exploratory design. The focus are policy content, context, actors, and policy processes. Data were collected by in-depth interviews and observation. Sources of information obtained from five informants from the institution of Provincial Health Office, Planning and Regional Development Agency of South Sumatra, and Provincial Government who selected by purposive technique based on considerations of participation in Jamsoskes. The analysis used is the analysis of policy. Results and Discussion: Based on the results of study it is found that the South Sumatra provincial government will continue to provide the Jamsoskes program in 2014 as it is, managed by the Health Office. Some of the considerations are for efficiency and flexibility and that it does not include all the people. Also, in the Presidential Decree No. 12 of 2013, the national government still provides opportunities for local scheme to grow until 2019. Some development is done in Jamsoskes including improving the quality and quantity of health care providers. Preparations are coordinated with Social Security Agency about number of contribution beneficiaries. One of the challenges is that the community rather go to the hospital directly so it can interfere with the referral system. Conclusion: There has not been a lot of development effort undertaken by local government onJamsoskes in preparation for the 2014 to welcome Universal Health Coverage. The South Sumatra provincial government should develop further the services under Jamsoskes as adjustments in welcoming the implementation of the second phase of the National Health Insurance