7.1
Data/evidence of savings in service access costs
Partly open
The programme brings services to residents' homes through two routes: Longcase home visits — students with AHS doctors following one patient and their family at least twice — and village doctor home visits. Every contact at home is a trip to a health facility that residents do not have to make: travel and waiting time plus travel costs. Its value is estimated from the number of visits in JEJAK multiplied by the hourly rate of the West Java 2026 minimum wage, plus travel costs, under three assumption scenarios.
Evidence
Estimate from JEJAK data Estimated savings in service access costs
Volume from JEJAK today: 1,434 final Longcase case reports ×
2 minimum home visits =
2,868 visits; plus 1,107 people
reached by village doctor home visits (286 activities).
In total, 3,975 home-based service contacts.
Hourly wage: Rp 13,397 (West Java 2026 provincial minimum wage, Rp 2,317,601 (Governor's Decree 561/Kep.859-Kesra/2025) ÷ 173 hours).
| Scenario | Assumption per contact | Value per contact | Longcase visits | Village doctor visits | Total potential |
|---|
| Low |
2 hours × 1 person + fare of Rp 20,000
The patient travels alone to a nearby facility; one return fare on public transport |
Rp 46,794 |
Rp 134,205,192 |
Rp 51,800,958 |
Rp 186,006,150 |
| Medium |
3 hours × 1.5 people + fare of Rp 30,000
About 3 hours of travel and waiting; half of patients are accompanied by one family member |
Rp 90,287 |
Rp 258,943,116 |
Rp 99,947,709 |
Rp 358,890,825 |
| High |
4 hours × 2 people + fare of Rp 50,000
Hard-to-reach village; chronically ill or older patients are always accompanied; return motorcycle-taxi (ojek) fare |
Rp 157,176 |
Rp 450,780,768 |
Rp 173,993,832 |
Rp 624,774,600 |
How to read it: the Medium scenario gives potential savings for residents of about
Rp 358,890,825 for 3,975 home-based
service contacts — the value of productive time and of costs residents do not have to pay. This figure moves
with JEJAK data, and its assumptions are open to correction by field survey results.
Context — not evidence for this claim
Social media What travel distances look like in focus villages — 1 post
The top five are chosen from different villages (the largest target group per village); the rest are in date order.
Post titles are shown in their original Indonesian.
What is not yet available. This is an estimate from stated assumptions, not a measurement: the time and money residents actually spend per visit have not been surveyed, and not every home visit replaces a facility visit that would certainly have happened.
7.2
Data on prevented curative costs
Partly open
The Longcase places patients with chronic disease — most often hypertension, diabetes mellitus, obesity, dyslipidaemia — under longitudinal follow-up, and promotive-preventive activities (Posbindu, Prolanis, health education) reach tens of thousands of participants. Controlling hypertension is proven to lower stroke risk (a 10 mmHg systolic reduction ≈ 27% fewer strokes, meta-analysis by Ettehad et al., Lancet 2016). Prevented curative costs are presented as an illustration using national health insurance (JKN) tariffs, not as an achievement.
Evidence
Illustration with JKN tariffs Illustration of curative costs prevented
824Patients with hypertension under Longcase follow-up (patients)
465Patients with diabetes mellitus under Longcase follow-up (patients)
8If 1% of patients with hypertension avoid one stroke episode in a year (episodes)
Rp 37,600,000Inpatient costs that never arise (Rp 4,700,000 per episode) — rupiah
Rp 102,169,600Each patient who avoids end-stage kidney failure — rupiah per year
| Curative cost avoided | Amount | Tariff source |
|---|
| One inpatient episode of ischaemic stroke (class 3, public hospital) | Rp 4,700,000 per episode | Mean INA-CBG tariff for class 3 inpatient ischaemic stroke, Chetrine et al., Pharmacy Medical Journal Unsrat |
| Haemodialysis for end-stage kidney failure, 2 sessions/week | Rp 102,169,600 per patient per year | INA-CBG haemodialysis tariff of Rp 982,400 per session × 104 sessions |
Epidemiological basis: lowering systolic blood pressure by 10 mmHg lowers stroke risk by about
27% (Ettehad et al., Lancet 2016).
The 1% share is a sensitivity
illustration, not a measurement in programme patients. Other promotive-preventive activities (Posbindu, Prolanis,
health education) add to this potential but are not counted, because their participants are not yet deduplicated.
Context — not evidence for this claim
JEJAK today Field activities by type of service
| Type of service | Target group according to the programme report | Activities | Participants recorded |
|---|
| Integrated health post (Posyandu) |
Pregnant women, infants, and toddlers (maternal and child health, family planning, nutrition) |
369 |
13,790 |
| NCD screening post (Posbindu) |
Adults and older people — screening for non-communicable diseases |
153 |
11,080 |
| Chronic disease management (Prolanis) |
People with hypertension and diabetes mellitus |
60 |
3,135 |
| Home visit |
Special cases: high-risk pregnant women, people with severe mental illness, older people |
286 |
1,107 |
| Health education |
The general public and adolescents |
307 |
14,574 |
| Outpatient care |
Clinic services in the village, Poskesdes, and Posyandu |
939 |
13,923 |
Participants are summed per activity and not yet deduplicated across activities. The breakdown per location is in the field activity summary.
What is not yet available. Complications among followed-up patients have not been measured before and after; the figures here are a sensitivity illustration ("if 1% avoid it"), not an evaluation result.
7.3
Professional workforce data
Partly open
Professionals employed through the programme: village doctors at focus sites and field preceptors at teaching sites.
Report · 21 September 2026
57sites
Village doctor sites
Report · 21 September 2026
101preceptors
Field preceptors
JEJAK today
138preceptors
Unique supervising preceptors
JEJAK today
58sites
Registered village doctor sites
What is not yet available. The economic value to the regions of employing these professionals has not been calculated.
7.4
Programme financing documents
Not yet available
Joint financing by two institutions, embedded in regular budgets rather than fixed-term grants.
Funding sources
| Component | Funded by |
|---|
| Village doctor honoraria | West Java Provincial Budget (APBD) |
| Honoraria for all preceptors | Universitas Padjadjaran |
| Facilities, operational support, housing | Regency Governments |
| Total budget and annual budget | Not yet released |
What is not yet available. Budget amounts have not been released and budget documents have not been published.
7.5
Evidence of regional government and Unpad contributions
Partly open
Village doctor honoraria from the Provincial Budget (APBD); all preceptor honoraria from Unpad; facilities, operational support, and housing from the Regency Governments as written obligations.
Contribution of each party
| Party | Role and contribution |
|---|
| West Java Provincial Government | Sets the criteria and the focus villages; drafts and issues the technical guidelines; Provincial Budget (APBD) for village doctors' income and competency upgrading |
| Regency Governments (18 regencies) | Proposes focus villages; guarantees health facilities, operational support, security, and decent housing; issues practice licences |
| Universitas Padjadjaran | Managing institution for village doctors: prepares, deploys, accompanies, develops competencies, guides, supervises, and reports |
What is not yet available. Each party's obligations can be read in the agreement; evidence of each party's actual contribution has not been published.
