Building A Health System That Parties With The People Through The 2025 IHDC Model

IHDC Launches Public Report Titled Indonesian Health Ideology Reinterpretation: IHDC Model 2025. (doc. IHDC)

JAKARTA - Health is not just a matter of statistics or medical technical matters. More than that, health is an ideology about how the value of justice, people's sovereignty, and public participation are really present in systems that serve the community.

This principle underlies the birth of the idea of Indonesian Health Ideology, a concept that places Pancasila as the basis for formulating the direction of health development in the country.

In that framework, the Indonesia Health Development Center (IHDC) launched a public report entitled 'Reinterpretation of the Indonesian Health Ideology: IHDC Model 2025.' This study was officially presented at the Luwansa Hotel, Jakarta, attended by various parties ranging from the government, academics, professional organizations, to the community.

Prof. Nila F. Moeloek, initiator and Chair of the IHDC Board of Trustees who also served as Minister of Health of the Republic of Indonesia 2014 2019, emphasized the importance of viewing health as an ideological issue.

"Health is a matter of ideology, not just technical or statistical matters. We must work hand in hand to build a health system with the foundation of the value of justice. The Pancasila Falsafah must be present in the Health Ideology which characterizes all of our health policies, including in overcoming the challenges of globalization," said Prof. Nila in the Launch of a Public Report entitled Reinterpretation of the Indonesian Health Ideology: IHDC Model 2025 in Jakarta, recently.

This study, according to him, departs from concerns over various health challenges in Indonesia and the need to present strategic solutions.

The head of the IHDC research team, Dr. Ray Wagiu Basrowi, MKK, explained that this cross-disciplinary length study gave birth to the main six dimensions of Indonesia's health ideology:

Sovereignty emphasizes national control over health resources.

Communities & Solidarity, strengthening community-based health cooperation, including women, disabilities, and indigenous peoples.

Equality, answering service inequality for vulnerable groups.

Economy & Financing Guarantee, building a fair and inclusive financing system.

Education & Health Promotion, instilling health literacy from an early age to the community level.

Governance, creating a bureaucracy that is transparent, participatory, and technology-based responsive.

Each dimension is equipped with measurable indicators, such as ratios of health workers in disadvantaged areas, health literacy indexes, to digital social audit systems.

"Every dimension is accompanied by measurable indicators of success, such as roadmap independence, ratio of health workers in disadvantaged areas, level of JKN membership, health literacy index, and public service digital social audit system, equipped with community-based measurement models," explained Dr. Ray.

What distinguishes the idea of the IHDC is the emphasis on real public participation. Not just a formality of planning deliberation, but meaningful involvement in formulating, implementing, and evaluating the health system.

"Without real and collective participation, ideology is just a slogan. We want the people to feel like they own the health system, not just users who surrender," said Prof. Nila.

This study is also strengthened by the foundation of socio-political philosophy. A number of experts emphasize that the values of Pancasila are the most relevant basis in building a fair health system. Prof. Semiarto Aji Purwanto (anthropology) and Djarot Dimas, SH, MH (law & health policy), for example, emphasized that justice is not just a distribution of numbers, but partiality to the most vulnerable groups.

Professor and health economist Prof. Ascobat Gani and health journalist Adhitya Ramadhan also highlighted the importance of community participation so that health ideology can run continuously.

The IHDC emphasized that health development should not just pursue coverage figures, but must side with marginalized groups.

This report is expected to be a strategic cross-sectoral reference, included in the development document, and became the basis of the civil society movement to fight for fair health for all.