Throughout 2023 and into 2024 the World Health Organization (WHO) has provided critical support to Indonesia’s Ministry of Health to strengthen its National Health Accounts (NHA) system, with the aim of generating high-quality financial information to enhance health system decision-making and contribute to achieving universal health coverage.
NHAs provide national and sub-national policy makers a systematic description of the financial flows related to the consumption of health care goods and services. This provides key health system insights from a financial perspective, contributes to more effective decision-making and enables comprehensive quantitative analysis at both national and international levels.
In 2023 Indonesia’s Ministry of Health committed to improve its NHA system, with a focus on addressing key challenges such as data fragmentation and public data use. It aimed to bridge discrepancies between System of Health Accounts (SHA) 2011 and the country’s NHA framework.
From June through October, WHO held a series of consultations to analyze and align pharmaceutical expenditure data – including primary health care (PHC) expenditure data – with the aim of improving informed and strategic decision-making.
From August through October, WHO helped strengthen disease expenditure tracking, incorporating best practices and lessons learned from a range of countries, and helping to improve National Health Insurance (JKN) expenditure tracking based on diseases.
And at a WHO-convened workshop in October – with partners from China, Sri Lanka, Thailand and the UK – participants considered how best to improve data quality assurance, out-of-pocket expenditure schemes and health expenditure analysis.
In 2024 and 2025, WHO will continue to strengthen support for NHA production, disease account, pharmaceutical and PHC expenditure tracking, committed to ongoing health system transformation, and a healthier, more equitable and sustainable future for all.
Written by Feby Oldfisra, National Professional Officer for Health Financing, WHO Indonesia.