Keeling Curve

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Project Summary / Description:

Garbage Clinical Insurance (GCI) is a micro health insurance program which uses garbage as a financial resource. With this program, the community pays clinical services by using garbage in an insurance scheme. This way can make the community mobilize their own unused resources to improve health access and breakdown barrier between health facilities and community. We open health access through waste management system.

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In reality many people cannot get health access because they do not have sufficient money and the cost for medication is expensive. Indonesia has a huge problem regarding access to healthcare. Many people cannot get access to health care due to financial factors. For example, the true story of a 3-year-old girl, Khaerunissa, that happened June 5, 2005. She was the daughter of a 38-year-old scavenger, Supriyono, who only earned 10,000 every day. She got diarrhea, but she could not get access to health services due to unaffordable health cost. Finally, she died because of diarrhea. In responding to this heart-breaking social phenomenon, then we started to think how we could create health financing model which permitted all people to get health. This motivates us to develop garbage insurance scheme as health financing that we call Garbage Clinical Insurance. Garbage Clinical Insurance (GCI) is a micro health insurance program which uses garbage as a financial resource. With this program, the community pays clinical services by using garbage in an insurance scheme. This can make the community mobilize their own unused resources to improve health access and breakdown barriers between health facilities and community members. We open doors to health access. Garbage is the best solution because almost every day, every house produces garbage which is not used, so that all citizens can join our program. For instance, an urban area like Malang, where this program has been developed, produces more than 55.000 tons of solid waste everyday, but only 50-60 percent is collected. Practically, in general, residents must pay fee to government to dispose their garbage, but GCI offer residents to submit their garbage worth 10.000 IDR to us, which is used to cover their health care in a holistic manner, cover the patient's treatment (curative), make health care quality improvement programs (health promotion), prevent illness (preventive), and provide rehabilitative health care, such as free treatment, in clinic counseling, laboratory check, etc.

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