| Financier | Commitments |
|---|---|
| International Bank for Reconstruction and Development | 400.00 |
| Indonesia - Free-standing Trust Fund Program | 2.33 |
National Health Insurance (JKN) Reforms and Results Program
Abstract*
The development objective of the National Health Insurance (JKN) Reforms and Results Program for Indonesia is to strengthen the quality and efficiency of Indonesia’s JKN program. The program-for-results (PforR) focuses on reforms to improve the quality and efficiency of JKN. Activities are organized around three results area (RAs). RA 1 aims to strengthen the quality of care; RA 2 aims to improve the efficiency of JKN spending; and RA 3 is cross-cutting... Show More
Development Objective
The program development objective is to strengthen the quality and efficiency of Indonesia's National Health Insurance program.
Key Details
Project Details
P172707
Active
Zelalem Debebe , Eko Pambudi, Somil Nagpal
Republic of Indonesia
July 12, 2020
(as of board presentation)
December 15, 2021
May 17, 2022
US$ 18752.33 million
BPJS- Kesehatan,Ministry of Health,Dewan Jaminan Sosial Nasional (DJSN),Ministry of Finance
2022
US$ 402.33 million
N/A
June 13, 2024
September 30, 2026
No
BANK APPROVED
Finances
Financing Plan (US$ Millions)
Total Project Financing (US$ Millions)
| Product Line | IBRD/IDA |
|---|---|
| IBRD Commitment | 400.00 |
| IDA Commitment | N/A |
| IBRD + IDA Commitment | 400.00 |
| Lending Instrument | |
|---|---|
| Grant Amount | 2.33 |
| Total Project Cost** | 18752.33 |
Summary Status of World Bank Financing (US$ Millions) as of March 31, 2025
No data available.
| Period | Financier | Transaction Type | Amount (US$) |
|---|---|---|---|
| Feb 1, 2024 | IBRD-93160 | Int Charges | 3,218,669.00 |
| Aug 1, 2024 | IBRD-93160 | Int Charges | 4,660,697.50 |
| Aug 1, 2024 | IBRD-93160 | Int Charges | 20,688.06 |
| Aug 1, 2024 | IBRD-93160 | Int Charges | 317,818.06 |
| Jul 28, 2022 | IBRD-93160 | Loan Disb | 100,000,000.00 |
| Jul 16, 2022 | IBRD-93160 | Fee Charges | 1,000,000.00 |
| Feb 1, 2023 | IBRD-93160 | Int Charges | 378,082.20 |
| Feb 1, 2023 | IBRD-93160 | Int Charges | 2,185,289.20 |
| Aug 1, 2023 | IBRD-93160 | Int Charges | 85,413.71 |
| Aug 1, 2023 | IBRD-93160 | Int Charges | 371,917.80 |
| Aug 1, 2023 | IBRD-93160 | Int Charges | 2,754,628.00 |
| Feb 1, 2023 | IBRD-93160 | Int Charges | 41,095.89 |
| Feb 1, 2023 | IBRD-93160 | Int Charges | 38,251.57 |
| Feb 1, 2024 | IBRD-93160 | Int Charges | 23,313.11 |
| Feb 1, 2024 | IBRD-93160 | Int Charges | 377,908.16 |
| Dec 15, 2021 | IBRD-93160 | Loan Commitment | 400,000,000.00 |
| Feb 27, 2024 | IBRD-93160 | Loan Disb | 51,740,000.00 |
Ratings
IMPLEMENTATION RATINGS
| Name | Review | Date |
|---|---|---|
| Monitoring and Evaluation | Moderately Satisfactory | 2024-12-20 |
| Monitoring and Evaluation | Satisfactory | 2024-12-20 |
| Overall Implementation Progress (IP) | Satisfactory | 2024-12-20 |
| Progress towards achievement of PDO | Moderately Satisfactory | 2024-12-20 |
| Overall Implementation Progress (IP) | Moderately Satisfactory | 2024-12-20 |
| Progress towards achievement of PDO | Moderately Satisfactory | 2024-12-20 |
COMPLETION RATINGS
No data available.
INDEPENDENT EVALUATION RATINGS
No data available.
Results Framework
PROJECT DEVELOPMENT OBJECTIVE INDICATORS
| INDICATOR | BASELINE | CURRENT | TARGET |
|---|
Increase in the % of outpatient utilization among bottom two quintiles Value 13.20 8.50 15.20 Date December 31, 2019 March 31, 2023 December 31, 2026 Comment Improved provider competency score in FKTPs Value To be determined in 2024 Not yet determined Increased above baseline values for at least 70 pe Date December 31, 2024 May 27, 2024 December 31, 2026 Comment More sustainable claims ratio Value 102% 105% <98% Date December 31, 2019 December 29, 2023 December 31, 2026 Comment Improved member satisfaction rate and its continued use as a BPJS-K performance monitoring indicator Value 81.5% 89.6% Above 82%(and continued as BPJS performance indic Date December 31, 2019 December 30, 2022 December 31, 2026 Comment
INTERMEDIATE RESULTS INDICATORS
| INDICATOR | BASELINE | CURRENT | TARGET |
|---|
Decrease in the % of claims that were pending settlement for more than 14 days Value 2.57 To be determined To be determined Date June 30, 2023 December 19, 2023 December 31, 2026 Comment Improved policy formulation and oversight of JKN Value NA 0 Annual report for previous year published Date October 1, 2021 May 31, 2024 December 31, 2026 Comment Number of clinical diagnostic, treatment, or referral guidelines formulated into processes of care for FKRTLs Value 0.00 10.00 20.00 Date October 1, 2021 May 31, 2024 December 31, 2026 Comment Number of additional performance and quality indicators included in primary care payment system Value 3.00 3.00 13.00 Date October 1, 2021 May 31, 2024 December 31, 2026 Comment Increase in the % of antenatal care visits in-line with clinical protocols disaggregated by province Value Baseline in Year 2024 Delayed due to DLI 1. Baseline in Year 2024 To be determined Date December 19, 2023 May 31, 2024 December 31, 2026 Comment Cumulative number of FKRTLs with trained and certified clinical coders Value 0.00 567.00 1800.00 Date October 1, 2021 January 31, 2024 December 31, 2026 Comment Number of maternal deaths caused by hypertension disaggregated by province Value 1066 1010 <900 Date October 1, 2021 December 29, 2023 December 31, 2026 Comment Increase in the % of adults screened for diabetes and hypertension in-line with clinical protocols Value Baseline in year 2024 Delayed due to DLI 1. Baseline in Year 2024 To be determined Date December 31, 2024 May 31, 2024 December 31, 2026 Comment Improved provider competency on maternal care disaggregated Value Baseline to be determined Not yet due. DLI 1 linked. Baseline to be determin The competence scores are increased for at least 7 Date December 31, 2024 May 31, 2024 December 31, 2026 Comment Recommended tracer indicators embedded and automated in the claims verification software to monitor compliance with evidence-based care Value 0 Delayed due to DLI 1 &2 25 (15 for FKTP and 10 for FKRTL) Date October 1, 2021 May 31, 2024 December 31, 2026 Comment Number of information systems integrated as per roadmap target Value 0 3 To be determined by roadmap Date October 1, 2021 May 31, 2024 December 31, 2026 Comment Share of FKTPs trained in using the clinical decision support tool Value 0.00 0.00 90.00 Date October 1, 2021 May 31, 2024 December 31, 2025 Comment