section_path: Demographics/Healthcare
section_name: Healthcare
paragraph_text: Healthcare
  
  Indonesia has made significant progress in developing its healthcare system since 1945. Initially, healthcare services were limited, with a shortage of doctors, hospitals, and infrastructure. In the late 1960s, the government began establishing community health centres (puskesmas) to provide basic services in rural areas. With the help of the World Health Organization in the 1970s and 1980s, Indonesia implemented an immunisation program to combat diseases like polio and measles. The system experienced a major transformation in 2014 with the launch of Jaminan Kesehatan Nasional (JKN), a universal health care managed by the Social Security Agency on Health (BPJS Kesehatan). It is one of the world's largest single-payer systems, covering over 83% of the population (225.9 million) in 2021.
  
  Government spending on healthcare accounted for 2.69% of GDP in 2022. Primary healthcare is delivered through puskesmas, hospitals, and private clinics. While the healthcare system lags behind those in ASEAN neighbours like Malaysia and Singapore, significant public health outcomes have been achieved, such as an increase in life expectancy (from 54.9 years in 1973 to 71.1 years in 2023), a decline in child mortality (from 15.5 deaths per 100 live births in 1972 to 2.1 deaths in 2022), polio eradication in 2014, and decreasing cases of malaria.
  
  Some chronic health issues persist, including child stunting that affects 21.6% of children under five according to a 2022 data. Low air quality, particularly in major cities, contributes to respiratory illnesses, while maternal and child health indicators remain areas of concern, with a maternal mortality rate the third highest in the region. Additionally, Indonesia has one of the highest smoking rates globally (34.8% of adults), contributing to a high prevalence of non-communicable diseases like cardiovascular issues and lung cancer.