SUMMER EXCHANGE PROGRAM

2018
FINAL PRESENTATION
STIKES BALI
Wisma Ekawati, Rani Arsanti, Rosa Cahayantari, Ena Dwipayani
 OUTLINE

5. BALINESE TREATMENT 1. OVERVIEW

INDONESIA
4. HEALTH CARE SYSTEM 2. LANGUAGE

3. BALI’s DISEASES
1. INDONESIA OVERVIEW

OVER 17.000 ISLANDS

Paradise island

Dewata island Over 250 million people

Island of thousand Temples
STIKES BALI PROFILE

1. Nursing Vocational School was founded in 1983.

2. It was then upgraded into a Nursing Academi

in1995

3. In 2005 it was upgraded into The Institute of

Health Science Bali (STIKES BALI), which offers 3
study programs.
PROGRAM STUDY

1. Bachelor of Nursing (10 Semesters)

2. Diploma III of Nursing (6 semesters)
3. Diploma III of Midwifery (6 semesters)
4. Ners Program (2 Semesters)
5. Diploma IV Nurse Anaestethist
CAMPUS 1 and Students’ Dormitory
Jl. Tukad Pakerisan 90 Denpasar
Campus 2: Jl. Tukad Balian 180, Denpasar
STIKES Bali Clinic at Karangasem Regency (open
for public on Oct 4, 2011)
2. Language
TAIWAN INDONESIA
Greetings

Selamat Pagi Rahajeng

zǎo shàng Semeng
Greetings

xià wǔ Selamat Sore Rahajeng Sore

Greetings

wǎn shàng Selamat Malam Rahajeng Wengi

Feeling

Nǐ hǎo ma? Apa kabar ? Punapi gatre ?

Thank You

xiè xiè Terima Kasih Suksma

 Comparison
TAIWAN INDONESIA
walking in public Has line for the slow Everywhere
and fast side of walk,
driving Left Sided Right Sided
Rubbish bin Rare Many
Food Less flavoury More flavoury
Transportation Public transport Private transport
Water Many free drinking Rare
water machine
Plastic bag pay Free, just few shop
asked to pay
3. BALI DISEASE
3. BALI’s DISEASES
Data From: KOMISI
PENANGGULANGAN
AIDS PROVINSI BALI
2011
2017...
2011 :
4.631
cases Action

Counseling

Education
2017 :
2.367 Screening
cases
4. HEALTH CARE SYSTEM
THE HEALTH CARE PROVIDERS IN
INDONESIA Central Hospital,
Tertiary Specialist Hospital,
HC
Dept. of Health
Secondary General Hospital, Private
HC Hospital
Puskesmas (Central of
Primary HC Public Health), private
medical practice

Public sector Posyandu (Integrated

Service Post)
Private sector Family
 LEGAL FOUNDATION FOR
INDONESIA’S NATIONAL HEALTH INSURANCE

• Constitution of 1945
• Act No 40/ 2004 on National Social Security
System (UU SJSN)
• Act No 24/2011 on Social Security Agency
(BPJS)
• Governmental Decree No 101/2012 on
Beneficiaries of Governmental subsidy (PBI)
• Pres Decree No 12/2013 on Social Health
Insurance
• Other regulations
24
 Law
No. 40/2004

The essence: The purpose:

To synchronize To guarantee
implementation of social protection and social
security in Indonesia welfare for all people

25
 ROADMAP TO UHC
86,4 mio PBI

257,5 mio (all

121,6 mio covered Activities:
Indonesian
by BPJS Keesehatan Transformation, Integration, Expansion people) covered
Coverage of various existing by BPJS
schemes 148,2mio 50,07 mio covered `Enterprises 2014 2015 2016 2017 2018 2019 Kesehatan
by other schemes
Big 20% 50% 75% 100%
Uninsured people 90,4 73,8 mio Middle 20% 50% 75% 100% Level of
mio uninsured people Small 10% 30% 50% 70% 100% satisfaction 85%
Micro 10% 25% 40% 60% 80% 100%

2012 2013 2014 2015 2016 2017 2018 2019

Transformation from 4 existing schemes to Integration of Jamkesda into BPJS Kesehatan
BPJS Kesehatan (JPK Jamsostek, Jamkesmas,
Askes PNS, TNI Polri )
and regulation of commercial insurance industry
Presidential decree Pengalihan
on operational Kepesertaan
support for TNI/POLRI ke BPJS
Army/Police Kesehatan

Procedure Company Membership expansion to big, middle, small and micro enterprises
setting on mapping
membership and B 20% 50% 75% 100%
and socializatio 20% 50% 75% 100%
S
contribution n K 10% 30% 50% 70% 100% 100%
Synchronization membership
data: JPK Jamsostek, Jamkesmas Consumer satisfaction measurement every 6 month
dan Askes PNS/Sosial – single
identity number
Benefit package and sevices review annually
26
 MEMBERSHIP

• Members
All people who have paid premium
or for whom it has been paid

• Two categories of members:

a. People with incomes below the stipulated
poverty line  premium paid by government
b. All others pay the premium - workers in formal
sector, independent members, including foreigners
who work in Indonesia for 6 months or longer.
27
 PREMIUM OF NATIONAL HEALTH INSURANCE
MEMBER PREMIUM Monthly REMARK
membership fee
(IDR)
SUBSIDIZED NOMINAL 19.225,- Class 3 IP care
MEMBER (per member)
CIVIL 5% 2% from employee Class 1 & 2 IP
SERVANT/ARMY/P (per household ) 3% from employer care
OLICE/ RETIRED
OTHER WORKERS 4,5 % Until 30 June 2015: Class 1 & 2 IP
WHO RECEIVE (per household) 0,5% from employee care
MONTHLY And 4% from employer
SALARY/WAGE
5% (per household) Start from 1 July2015:
1% from employee
4% from employer
NON WAGE NOMINAL 1. 25,500,- 1. Class 3 IP care
EARNERS/ (per member) 2. 51,000,- 2. Class 2 IP care
INDEPENDENT 3. 80,000,- 3. Class 1 IP care
28
MEMBERS
• Public Hospital Taiwan (Taipe City Hospital)
• Private Hospital Taiwan (Shin-Kong Hospital)
COMPARISON HOSPITAL

TAIWAN INDONESIA Comparison

Computerized
Public and private accept
Palliative care development
No Gate Keeper
Paper, few of hospital using Data Input
computerized
Public, few private accept Insurance
Only two hospital, RS. Kanker Care
Dharmais Jakarta and RS. Dr.
Soetomo Surabaya
Primary- secondary- tertiary Referral
Sanglah
Hospital Bali
Bali Royal
Hospital
5. BALINESE TREATMENT

• Lontar Usada contains of

disease etiology (both
naturalistic and super
naturalistic etiology and
disease controlling system in
the form of prevention and
treatment).
USADHA

Usadha Buduh Usadha Rare

Usadha Netra Usadha Taru

Pramana
 RELIGIOUS-MAGIC LEGITIMACY

TRI HITA KARANA

Harmonious relationship between humans

(Pawongan), humans with the environment
(Palehaman) and man with God or gods
(Parhyangan)
SOME MEDICINAL PLANTS IN USADHA TARU
PRAMANA
• Jepun/Frangipani (Plumetra acumminata Srt)
It can cure lumbago or back pain

• Kananga/ylang-ylang (Cananga odorata)

It fights depression and relaxes the body, thereby
driving away anxiety, sadness, and chronic stress

• Base/Sirih (Piper betle)

For antiseptic
VARIOUS FORMS OF MEDICINE FROM TARU
PRAMANA
• Loloh (herbal drink)

• Param (medical powder to

rub on the body)

• Herbal oil for aromatherapy

THANK
YOU