The United States Agency for International Development’s (USAID) Health Financing Activity (HFA) supports the Government of Indonesia (GOI) to sustain and increase the efficiency in financing for health to improve financial protection, equitable access to quality health services, and health outcomes in the priority areas of HIV, tuberculosis (TB), and maternal and newborn health (MNH). HFA is a five-year project (2019–2024) providing technical assistance to strengthen local capacity in financial analyses, stakeholder engagement, learning, and decision-making.
ThinkWell is joined by Indonesia’s premier institutions in health financing―the Center for Health Economics and Policy Studies at the University of Indonesia and the Center for Health Policy and Management at Gadjah Mada University. The HFA team also includes Results for Development, an international leader in strategic purchasing methods to pay health service providers for efficient, quality health care.
HFA collaborates with Indonesian leaders and institutions to strengthen health financing and propel Indonesia towards achieving universal health coverage. The design of HFA recognizes the GOI’s strengths by prioritizing capacity-building within government agencies, civil society, media, academic institutions, and the next generation of health financing experts. Our technical support aims to improve the selection and design of health financing policies, especially as it relates to the country’s national health insurance scheme, Jaminan Kesehatan Nasional (JKN). HFA also helps develop governance processes to contextualize technical solutions, monitor the impact of policies, and manage political economy challenges for successful implementation at every level. Through strengthening local capacity to generate evidence and engage in meaningful policy dialogue, HFA supports the Indonesian government to build a robust policy process that effectively engages key stakeholders, routinely incorporates high-quality evidence, and delivers sound policies for universal health coverage.
The goal of HFA is to sustain and increase the efficiency in financing for health to improve financial protection, equitable access to quality health services, and health outcomes in the USAID priority areas of HIV, tuberculosis, and maternal and newborn health. HFA’s vision for transformation is rooted in our theory of change. Our hypothesis is that effective engagement of key stakeholders, routine use of high-quality evidence, and leveraging available windows of opportunity will drive efficient and impactful policy change. Evidence-based policy change will allow for strengthened stewardship of resources, informed public financial management, resource optimization, and resource mobilization to create a sustainable health financing system. The theory of change is illustrated in HFA’s Results Framework and Logic Model, which shows the strategic domains and chain of results that build strong health financing institutions and policy processes.
HFA Results Framework and Logic Model
Objective 1: Improved sustainability of the GOI financing for health
The goal of the activities under Objective 1 is to institutionalize evidence-based knowledge as part of the GOI decision-making process to improve sustainable health financing. HFA works in partnership with the GOI and Centers of Excellence (COEs) towards improving the sustainability of GOI financing for health.
Objective 2: Improved strategic health purchasing mechanisms and capacities of GOI
The overall goal of the activities under Objective 2 is to improve the ability of the key health governance stakeholders (Ministry of Health, BPJSK, DJSN, and local governments) to ensure health services are purchased strategically to get the most value for health funds in line with health sector priorities. Increasing the cost-effectiveness of health purchasing will contribute directly to the overall sustainability of health financing. Strategic purchasing will create the right incentives throughout the system to reduce waste, contain costs, and prioritize disease prevention.
To read more about how USAID HFA works with the Ministry of Health, visit the Ministry of Health website.
In Indonesia, ThinkWell leads USAID’s Health Financing Activity (HFA), a five-year, $15 million contract awarded in 2019. HFA is a technical assistance project designed to strengthen local capacity in financial analyses, stakeholder engagement, learning, and decision-making. We support the Ministry of Health’s leadership and vision to improve financial protection, equitable access to quality health services, and health outcomes.