A model for driving the community health security fund by engaging people at the local level

Abstract

This academic article aims to suggest ways to drive the community health security fund (LHSF). To create a process to develop fund management for sustainability and give the sub-district fund as a capital to promote the health of the people in the area according to the objectives of the fund, it is the base for community’s health care, to benefit local people’s health.  Therefore, a conceptual framework for implementation of the development of health insurance funds at the local level has been proposed, with four main themes: Issue 1. The process of fund management with good governance by applying ten principles in fund management as follow; effectiveness, efficiency, responsiveness, responsibility and accountability, transparency, participatory process, decentralization, jurisprudence, equality and consensus-oriented aspects, including factors such as leadership, visionary, monitoring, follow-up, and efficient evaluation. Issue 2. Community participation in health security fund management at the local level, by creating participatory process of the people and various network/partners, in order to establish working integration. Issue 3. Process of empowerment and social capital of local people in managing people's problems in the community, in order to create a sustainable learning process system.  Issue 4. Process of developing committee's potential, to increase capacity of fund (LHSF) management, including rules and regulations for administration efficiency.