ABSTRACT
In Indonesia, health reform initiatives related to quality and safety have been developed based upon: (1) The Health Law No. 36, 2009, (2) Vision of Ministry of Health (MOH) “Health Community with Self Motivated and Fairness” in 2010, (3) the 7 Health Development Reformation of the MOH, and (4) other related regulations. The biggest challenge in Indonesia is bedding down largescale reform of the health system stimulated by the implementation of a National Social Insurance System (NSIS) since the beginning of 2014. This needs to be accomplished for a large population, comprising 244 million people. Meanwhile Indonesia is exposed to an epidemiological transition in which non-communicable diseases (NCDs) are increasingly becoming a considerable burden. One of the solutions for Indonesia’s health problems has been the instigation of national reform initiatives to meet a health vision for quality and safety. A key feature of this is the implementing of new hospital and health center accreditation programs beginning in 2012. The intention is to integrate these reform measures with the NSIS from 2014. In this regard the MOH has implemented the NSIS, covering 63 percent of Indonesia’s citizens as of 2011, with the aim of complete coverage by 2019.
