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What successes can Jamkesmas claim? About 47 percent of poor and near-poor households were covered under the program. Outpatient and inpatient utilization rates increased among program cardholders. Levels of catastrophic payments declined. Participation of private providers increased. More than 300 complementary local Jamkesmas-inspired programs were initiated across the country. Yet considerable challenges remain, including the following: Nearly 60 percent of the population remains without any coverage, including millions of Indonesians working in the informal sector. Out-of pocket spending remains high even among those with coverage. Lack of equitable access to quality health services in rural, remote areas. Evidence of considerable mistargeting and leakages to non-poor families. Low levels of awareness of benefits. Low utilization of health services. Regional inconsistencies in the availability of the basic benefits package, and poor accountability and feedback mechanisms.
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