Universal Health Coverage Acceleration Through the UHC Village Approach: The (Supporting Universal Health Coverage So Express and Sustainable (SUCSES) Innovation in Indonesia’s in National Health Insurance Program
DOI:
https://doi.org/10.69855/mgj.v2i3.410Keywords:
Universal Health Coverage, National Health Insurance Enrollment, SUCSES Innovation, UHC Village, Decentralized GovernanceAbstract
Universal Health Coverage (UHC) is a cornerstone global health target, reaffirmed by the World Health Organization (WHO) and the United Nations’ commitment to achieve it by 2030. Despite Indonesia’s sustained national initiatives, structural barriers persist, including membership gaps, subnational disparities, and high out-of-pocket expenditures. This qualitative descriptive study investigates the SUCSES Innovation (Supporting Universal Health Coverage So Express and Sustainable), a decentralized, village-level model designed to accelerate UHC progress. Conducted at the BPJS Kesehatan Bukittinggi Branch from January 2023 to December 2024, the research engaged purposively selected informants: branch managers, local government officials, village leaders, and program implementers. Data collection included in-depth interviews, document reviews, and membership record analysis. Thematic analysis identified governance mechanisms, implementation strategies, and outcome pathways, yielding four themes: (1) institutionalizing UHC targets through village certification frameworks; (2) strengthening subnational governance and accountability; (3) enabling community micro-targeting via data-driven outreach; and (4) achieving gains in coverage and financial performance. SUCSES generated ~135,000 new registrations, increased coverage from 87% to 97%, and produced IDR 68 billion in additional revenue.
References
Alawode, G. B., et al. (2025). Optimizing the health workforce for universal health coverage in low- and middle-income countries. Human Resources for Health, 23(1), 1–12.
Alshehari, A. H., et al. (2024). Measuring progress towards universal health coverage in the Middle East and North Africa (MENA) region. The Lancet Regional Health – Middle East and North Africa, 10, 100234.
Ayton, D. (2023). Chapter 5: Qualitative descriptive research. In Qualitative research in health. Open Educational Resources Collective.
Churiana Sudrajat, D. A., Simanjorang, C., Fitrianti, A. D., & Zahra, A. S. A. (2024). Limitations of Mobile JKN as a form of Universal Health Coverage in the digitalization era: Literature review. Jurnal Biostatistik, Kependudukan, dan Informatika Kesehatan, 4(3), Article 4.
Cometto, G., Buchan, J., & Dussault, G. (2020). Developing the health workforce for universal health coverage. Bulletin of the World Health Organization, 98(2), 109–116.
Dhillon, I., Jhalani, M., Thamarangsi, T., Siyam, A., & Khetrapal Singh, P. (2023). Advancing universal health coverage in the WHO South-East Asia Region with a focus on human resources for health. The Lancet Regional Health – Southeast Asia, 18, 100313.
Doyle, L., McCabe, C., Keogh, B., Brady, A., & McCann, M. (2020). An overview of the qualitative descriptive design within nursing research. Journal of Research in Nursing, 25(5), 443–455.
Hall, S., et al. (2024). Qualitative description as an introductory method to health research. International Journal of Qualitative Methods, 23, 1–10.
Hasnah, F., & Asyari, D. P. (2024). Analysis of universal health coverage (UHC) implementation and health service readiness in Indonesia. International Journal of Multidisciplinary Approach and Studies, 11(1), 45–56.
Herawati, H., Franzone, R., & Chrisnahutama, A. (2020). Universal health coverage: Tracking Indonesia’s progress. Perkumpulan PRAKARSA.
Maulana, A. N., Purwaningrum, F., Thabrany, H., Fitrianti, Y., & Tri Hartini, F. (2022). Measuring the regulatory capacity for the 2021 National Health Insurance (JKN) in Indonesia. Jurnal Jaminan Kesehatan Nasional, 2(1), 39–52.
Nirmalasari, M. Y., Idris, H., & Flora, R. (2023). Implementation of Universal Health Coverage program achievements in Indonesia: Narrative review. Health Information: Jurnal Penelitian, 15(3), e1322.
Pyo, J. (2023). Qualitative research in healthcare: Necessity and characteristics. Journal of Preventive Medicine and Public Health, 56(1), 1–7.
Saputro, C. R. A., & Fathiyah, F. (2022). Universal Health Coverage: Internalization of norms in Indonesia. Jurnal Jaminan Kesehatan Nasional, 2(2), 204–216.
Sumando, E. (2024). The impact of universal health coverage on health outcomes and fiscal sustainability in Indonesia. In Proceedings of PSIC 2024 Conference (pp. xxx–xxx).
Susilo, D. (2025). Can Indonesia achieve universal health coverage through the JKN scheme? Health Policy OPEN, 6, 100123.
Systematic Review of Financing Functions for Universal Health Coverage in Low- and Middle-Income Countries. (2025). Public Health Reviews, 46, 7.
Wagstaff, A., & Neelsen, S. (2020). A comprehensive assessment of universal health coverage in 111 countries: A retrospective observational study. The Lancet Global Health, 8(1), e39–e55.
World Health Organization & World Bank. (2021). Tracking universal health coverage: 2021 global monitoring report. World Bank.
World Health Organization (WHO). (2024). Strengthening clinical trials to improve high quality evidence on health interventions: Guidance for best practices on clinical trials. WHO.
World Health Organization (WHO). (2025). Universal health coverage (UHC) [Fact sheet]. WHO.
World Health Organization (WHO). (2025). WHO guidance on the ethics of health research priority setting. WHO.
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