In a country such as Indonesia with a population of approximately 250 million people with the level of the developing economy, making health care quality is not something that cheap stuff, because so many of the costs required to maintain the health of a citizen. For premises that the government issued a policy that every citizen is guaranteed health by removing the health budget 20% the cost of annual expenditure.
Let us suppose that we calculate the Indonesian State costs of 800 tryliun 1 year multiplied by 20% for health care costs is about a 160 tryliun only for health care costs, should a cost of registration is no longer supposed to be found in infants who are malnourished or other vitamin deficiencies, but not optimal because the cost is used and the amount of corruption in Indonesia has caused many infant found extreme malnutrition and other diseases such as polio and cataract, where government responsibility that has been chosen by its citizens in a democracy.
People’s Health: Amanah Constitution
Health is a fundamental right which is only fitting to be the obligation of governments, both national and local. In the amendment of article 45 Constitution 28H Paragraph (1) stated, “Every person has the right to live prosperous mentally and physically, residing and get a good living environment and healthy and are entitled to health care. ” Furthermore, in Article 34 paragraph (3) 4th amendment declared “the state is responsible for the provision of health care facilities and public service facilities they deserve”.
In addition, the government of Indonesia is one of the parties (state parties) stating its commitment to the international community to bind itself in the international covenants which regulate issues of economic, social, and cultural (ESC) or the International Covenant on Economic, Social and Cultural Rights ( ICESCR). Covenant has been ratified through Law no. 11/2005 on 28 October 2005. In Article 12 of the covenant was expressly stipulated that “States Parties to the present Covenant recognize the right of everyone to enjoy the highest attainable standard of physical and mental health. ”
To realize the ideal conditions in the field of health care, the agenda is an urgent thing to do is:
1. In the short term we must continue to advocate (defense) rights in the health field. Problems and root causes of health services should be the themes of talks / discussions with residents in these communities. These discussions should formulate an agenda that contains the tabulation problem, the map problem, map the parties that have contributed to the health care problem-solvers. The parties involved, such as village heads, heads Health Center, Public Health Service or a member of Parliament could be invited attend the discussions. In addition to providing information as a resource, their presence should also be used to convey the pressure / demands of the problems that have been inventoried.
2. In the long run citizens must actively exert regulation health sector, which still marginalize the interests of society at large, especially the poor. For example, regulations on health budgets, service standards, the amount of levy health centers and hospitals, regulation of health services for poor households, such as GAKIN, ASKESKIN and SKTM to be easily obtained by the poor.
State – in this case the government, it must be constantly guarded and reminded residents to take care of his responsibility. By seeding the seeds of critical awareness at community level, collaborative efforts with other stakeholders – including governments, the presence of accessible health services and quality is a necessity.