Social Security Administering Body for the Health Sector
Asia and Pacific

An effective approach to increase contribution collection from informal economy

Implementation year

Contribution collection is a vital aspect in the implementation of the social security for health programme in Indonesia. Since it was implemented in 2014 until the end of 2018, contribution collections from the informal sector have continued to decline, with the collecting ratio in the range of 60 per cent.

In an effort to address this issue, the Body of Social Security for Health of Indonesia (BPJS Kesehatan) has adopted the Lean Six Sigma (LSS) approach to go explore deeply the root of the problem and find the best solutions as well in increase contribution collection.

LSS is applied to the main programs of contribution collection, as well as to manage the debts of the informal sector by collecting through Kader (community members assigned to collect with fee-based agreement) and through Tele-collectors (phone-calls made by dedicated salary-based officers).

The final results showed a significant increase in informal sector contributions in 2019. In 2020, when the pandemic occurred, the performance of collection was evaluated with a second LSS project, which also succeeded in obtaining the best solutions that increased contribution receipts.

Contribution collection and compliance