| dc.description.abstract | This research basically is the second year stage of evaluation study on UHC both Indonesia and Thailand. The results for the first year shows that there is tendency of overburden of public finance for both Indonesia and Thailand. Both of Thailand and Indonesia experienced the financial burden in implementing UHC Policy. The problem is more on the bulk amount of fund to cover the UHC from the annual budget which is accounted of the Annual National Gross Domestic Products (DGP), and become the burden for the National Budget allocated each year. Second, the quality of service is still in poor quality for Indonesian case and there is unequal distribution of government health facilities particularly in primary health care in Thailand. Third, the procedures of UHC for referral services is still complicated for the patients to get advance health care.
Thus, by considering the Universal Health Coverage (UHC) Policy is an important health policy issue among ASEAN Countries, including Indonesia and Thailand, this second year proposal seeks to provide policy model of UHC in these 3 important aspects particulary financial model, improvement quality service and simplify referral service of current situation. Thailand has been implemented UHC for almost fourteen years, and on the other hand, Indonesia is entering the third year implementation of UHC. Even though both of them started UHC at the different year, but both of countries can have lesson learn by evaluating their implementation either their preparation for UHC. The facts shown, UHC brings benefit for the people, but still there are UHC off-track in both countries, despite nominal comprehensive coverage for the poor, patients had difficulty accessing certain services, poor quality and unequal distribution of government health facilities.
The long term goal of this research is to have a sustainable research collaboration with Thammasat University to produce international publication base on research, reference book and to fill the MoU between Universitas Muhammadiyah Yogyakarta and Thammasat University Thailand. The short term goal of this research is to response to the problems related to UHC both in Indonesia and Thailand. This research in particular will try to address the evaluation of two things, first, how do the distinctive model of UHC implementation both in Indonesia and Thailand. Second is how do the distinctive results of UHC impact both in Indonesia and Thailand. The analytical approach of this study is derived from a qualitative research methods. In this research, the qualitative model will use the interview guide and focus discussion group to explore the information. FGD will be conducted both in Indonesia and Thailand with the certain respondents and and key informen. Finally, this research will also performing the procedures of triangulation to mean convergence among researchers (agreement between field notes of one investigator and observations of another) and convergence among theories. In order to achieve through the goal of this study, the policy model is utilized. It is considered the most effective way to help analyze, reformulate, implement, control, and provide feedback on the UHC in Indonesia and Thailand. To serve this goal, the scope of this research project for two years has 5 phases of study: The first year has been utilized the 1st phase of the study that provided a comparative analysis of the similarities and differences in the UHC of Indonesia and Thailand. The second phase explore the extent and policy related regarding gaps and problems of UHC by utilizing the result of first phase. The third phase evaluated policy in order to fill these gaps by decreasing or eliminating obstacles to the UHC system of Indonesia and Thailand. For the second year, the reseach will explore the fourth phase that will design draft of policies and strategy for improvement of UHC implementation regarding each urgent issue and over all in Indonesia and Thailand, and the fifth phase will result improving of implementation model of UHC policy regarding as comparative analysis of policy in Indonesia and Thailand. | en_US |
