Social Health Insurance for the Poor: Targeting and Impact of Indonesia's Askeskin Program

Robert Sparrow • Robert Sparrow • Asep Suryahadi • Asep Suryahadi • Wenefrida Dwi Widyanti 1 more
Working paper SMERU Research Institute • May 2010 Indonesia


A first step towards meeting Indonesia's ambition for universal health insurance was made in 2005 with the introduction of the health insurance for the poor (askeskin) program, a subsidized social health insurance targeted on the poor and the informal sector. this scheme covered basic healthcare in public health clinics and hospital inpatient care. in this paper we investigate targeting and impact of the askeskin program using household panel data. we find that the program is indeed targeted on the poor and those most vulnerable to catastrophic out-of-pocket health payments. the public health insurance improves access to healthcare in that it increases utilization of outpatient healthcare among the poor, while out-of-pocket spending seems to have increased for askeskin insured in urban areas. keywords: social health insurance, healthcare utilization, out-of-pocket health payments, targeting, impact evaluation, Indonesia jel classification: g22, h55, i18




SMERU Research Institute

Since its establishment in 2001, SMERU has been a leader in poverty and inequality research in In... see more