If you ever stop by the at Child Health Department of Cipto Mangunkusumo Hospital, you will see disadvantaged children who deserve to receive our empathy. Despite 5-stars restaurants and over-blooming of foreign food chains in the metropolitan city of Jakarta, you will be surprised to see the face of malnourished children in one corner of the hospital, which you would probably have seen oin NGO postcards. In a different corner, you would see children with cancer cancerous children who received delayed treatment, simply because the parents could cannot afford earlier treatment earlier.
As a national hospital, many patients awere referred from all over the place of Indonesia. We receive cases as far as most west part of Indonesia:as Aceh, to the most and as far east region ofas Papua. Parents come with the high hopesexpectation offor better treatment for their children. Yet, their hopes turn once again to despair when they see the they find turning down point when facing with medical bills. The gGovernment provides some health care assistance programscheme, but certainly to deal with the governmental insurance one would need to provide legal documents, which means only the children whose parents own ID cards and other legal documents can fulfill the criteria of health schemefor these assistance programs. Many children in the hospital are not covered by specific health-care insurance because the parents failed to show the paperwork for many reasons. Some of these classic reasons areis, the child is born out of the wedlock or, simply because the parents could not afford to get married or pay legal paper for the marriagemarried certificates. Thus a paper called ‘kartu keluarga’, (household registration card) could notfailed to be issued. As a Cconsequently, the family does not qualify to apply for ce no health insurance or any assistance programs.can cover the family.
Two amongst some possible schemesassistance programs available for poor family are: “Jaminan kesehatan daerah/Jamkesmas” (regional health insurance), which would cover 100% of medical treatment, but they are only provided for those underprivileged children who lives outside of Jakarta. Then there other is “ Surat keterangan tidak mampu/SKTM” (insurance for the underprivileged family).
The secondlast one mentioned, SKTM is only provided for limited to group of familiesy who owns Jakarta ID, and areis proven by the local authorities to be economically poor. If you live long enough in Jakarta, you will learnHowever, that Jakarta consists of migrants from nearby cities and different islands who are trying to make a livingfind their fortune in Jakarta. This would then explains why that, many sick children haves no access to appropriate medical carefor a better treatment, simply because if they were sick, their poor parents hold no local ID. Even with this half subsidized schemeThe SKTM only provide 50% coverage, the family is still required to pay 50% of the medical fee. All these schemes have been found very helpful and they have helped to alleviate the burdens, yet there are still many families who are not covered by health scheme.
WSo, when a family appliesd for any of medical schemeassistance whenas they arrived at thein hospital, the Health Department willneed initially need to check their eligibility and review their requiredthe documents required. After completion of paper submission, there would be a visit by afrom governmental officer to their house for the final proof that the family really lives in poverty. The process requires some period of time, yet sometime there is urgency in health management. The iiInsurance and the type given will then be granted based on their eligibility.
. criteria fulfillment for each scheme.
Thus, the financial support is needed for family who does not have legal paper and failed to be covered by medical insurance, or even for those who is eligible for medical insurance, but waiting for insurance paper work to be issued, yet the children need prompt treatment.
I would like to share three stories of children whom I have encountered. The photographs may be disturbing and it’s not all happy endings. But this is their realityThere are many — the reality XXXX (thousands) of children who do not have access to proper medical care. This reality would not just go away if we try to ignore it. This reality can only be changed by people who find it unacceptable and take actions to alter this reality.