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Among the many public health initiatives the government has implemented are the Indonesian Millennium Development Goals (MDGs) to reduce the under-five mortality rate from 94 to 43 per 1000 by 2015, compared with 90 in 1990 and 57 in 1990; neonatal mortality rate from 23 to 11 per 1000 by 2015, compared with 28 in 1990 and 18 in 1990; maternal mortality rate from 300 to 120 per 100,000 live births by 2015, compared with 370 in 1990; and the rate of tetanus toxoid immunization among women of childbearing age from 25 to 73% by 2015. The Indonesian government has also taken health services to the general population especially the poor through the provision of free health care and community-based health promotion, and the programs include the Financial Protection of the Poor Program, the Community Based Health Insurance (Kesejahteraan Khusus, KKH), and the Selected Cadre of Community Pharmacists (Bidan Maaf-Dana Dokter Khusus, BMDD).
Also, a significant increase in health-related expenditure has been recorded in the last two decades, as shown in Table 1. The health care expenditure in Indonesia (in current prices) increased from US$1.1 billion in 1997 to US$5.5 billion in 2011. In 2011, the government expenditure on health was 5.9% of the gross domestic product (GDP) and the World Health Organization (WHO) estimated was 6% of the GDP, whereas the private sector expenditure on health was about 70%, up from 28% in 1990. The growth in public health expenditure was higher than that of the private sector over time. Health care expenditure in Indonesia is financed by the government through general revenue spending, user fees, and insurance schemes. The major insurance schemes are the Social Insurance Scheme and the KKH. The Social Insurance Scheme covers about 40% of the population, which is paid by household and employer contributions and mostly covers civil servants and their family members. The KKH is a voluntary health insurance programme for the poor. It covers about 31% of the population who contributed 10% of their household income. The private insurance schemes cover about 9% of the population, and the remaining population are self-insured. The government conducts periodic household surveys to generate information on health expenditure and health care utilization. The principal sources of data on health expenditure are the Household Income and Expenditure Surveys and the Household Expenditure Survey.
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