September 16, 2011
Statement by the Indonesian Delegation at the 18th Session of the Human Right Council – Panel Discussion on the Right to Health of Older Persons
Mr. Vice President,
First of all, allow me to extend my delegation thanks to the panelists for their valuable presentations.
As part of the Government of Indonesia’s efforts in the fulfillment of the right to health, the National Medium-Term Development Plan of 2010-2014 aims to increase the access of all citizens, including older people, to health services, to increase the life expectancy of Indonesians, and to reduce the infant and maternal mortality rate.
The budget allocation for the health sector has increased consistently over the past decade. In 2003, this budget was Rp 6.63 trillion (approximately USD 0.74 billion). In 2010 it had almost quadrupled to Rp 23.95 trillion (or USD 2.66 billion). The various measures taken by the government have resulted in significant improvements in the general health of Indonesians, as can be observed from the increase in the life expectancy from 66.2 years in 2004 to 70.9 years in 2010. The number of older persons in Indonesia in the future is expected to rise significantly, whereby in 2014 will reach up to 14.1 million (5.9 percent of the total population).
The majority of the health budget is used to finance promotional/preventive health programs as well as curative/rehabilitative programs. A significant part of the additional budget allocation has been used to enhance health services at the Community Health Centers (Puskesmas) and the Integrated Service Centers (Posyandu) which are financed by the Community Health Insurance (Jamkesmas), as the programs aiming to serve disadvantaged communities. According to Ministry of Health data in 2010, 59.07% of the total population of Indonesia had access to health insurance, and 54.8% of these, including older persons, were insured through the Jamkesmas.
The Government of Indonesia will continue to pursue the fulfillment of the right to health of older persons, among others through the implementation of Law No. 13/1998 on the Welfare of Older Persons, Government Regulation No. 43/2004 on the Improvement of the Social Welfare of Older Persons, and Presidential Decree No. 52/2004 on estableshment of the National Commission for Older Persons. Policies have been set through the National Action Plan on Older Persons 2010-2014 and additional funding has been allocated to the Social Insurance for Older Persons program which now has been increasing up to more than Rp 18 billion (USD 2.1 million).
Special measures have also been taken to provide services for older persons. These include the establishment of Integrated Service Centers for Older Persons, the Older Persons’ Friendly Community Health Centers, Geriatrics and Gerontology Clinics in public hospitals, and priority care service for older persons in the polyclinics of the Community Health Centers in all provinces.
Mr. Vice President,
The Indonesian Government has taken numerous necessary steps to ensure that the right to health of older persons is protected. Despite the challenges faced, policies and programs have resulted in the improvement of the attainment of older persons’ right to health. However, challenges still remain, including the need to increase human resources in hospitals and community health centers; improving related facilities and infrastructures; increasing funding from both the central and the regional governments for programs benefiting older persons; increasing the role of the private sector, especially in its corporate social responsibility, in supporting the welfare of older persons; and increasing the role of the media in socializing rules/regulations and policies on the welfare of older persons.
It is to be noted that Indonesia has shifted its paradigm from the simple pursuit of healthy ageing towards the continued participation of older persons in social, economic, cultural and civic life, as well as their ongoing contribution to society. According to the National Commission of Older Persons data, 70.7% of men and 79.2% of women of older persons remain active in the employment services as well as 28.7% of men and 20.5% of women of older persons are active in social activities.
I should like to conclude, Mr. Vice President, with a question to the panelists: how can we adopt the best form of social protection system for the long-term care of older persons.
Geneva, 16 September 2011