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All Journal Jurnal Kebijakan Kesehatan Indonesia Economic and Finance in Indonesia
Farma Mangunsong
Staf Peneliti LPEM FEUI
Economics, Econometrics & Finance Education Public Health

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A Decomposition Analysis of Fertility: Evidence from DKI Jakarta and East Nusa Tenggara Mangunsong, Farma
Economics and Finance in Indonesia Vol. 66, No. 2
Publisher : UI Scholars Hub

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Abstract

Fertility control has been one of the priorities of development in Indonesia. However, the 2000 and 2010 population censuses showed an increase in fertility indicators. To identify the sources of increased fertility in developed and less developed areas, DKI Jakarta and East Nusa Tenggara Provinces were selected for comparison. Using 2000 and 2010 census data, the decomposition analysis shows that the increase in Total Fertility Rate (TFR) of DKI Jakarta was dominated by the increase in nuptiality rate, while the increase in TFR of East Nusa Tenggara was mainly caused by the increase in Marital Fertility Rate (MFR). The highest increase in the proportion of married women in DKI Jakarta occurs in the age group of 15-19 years old, followed by the age group of 20-24 years old. The increase in MFR in East Nusa Tenggara occurs in nearly all age groups, particularly in the age groups of 30-34 and 35-39 years old. Identifying the sources of the increase in TFR is important for population policy to support population growth control, fertility reduction, and human resource quality improvement. The main suggestions based on the findings are the promotion of higher educational level and the benefits of postponing marriage among the younger age groups in DKI Jakarta as well as the use of contraceptive methods to control birth rate in East Nusa Tenggara.
Ageing Population Policy in Indonesia: A Narrative Review Mangunsong, Farma; Jirapramukpitak, Tawanchai; Hastuti, Sari
Jurnal Kebijakan Kesehatan Indonesia Vol 14, No 3 (2025): September
Publisher : Center for Health Policy and Management

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkki.106962

Abstract

The percentage of elderly people in Indonesia has surpassed 10%, drawing attention to the specific needs of this demographic. While physical decline is a natural part of ageing, additional needs often emerge as individuals grow older. Ageing is associated with increased demand for healthcare services, financial instability, and a rising elderly dependency ratio. This study analyses elderly care policies in Indonesia, evaluates existing healthcare systems and social support, and compares them with models from several other countries. A narrative review approach was used, incorporating thematic analysis of literature, policy documents, research reports, and statistical reports. The study finds that although various initiatives have been implemented, their execution remains fragmented. Challenges are compounded by unintegrated healthcare services, limited infrastructure in remote areas, insufficient financial assistance, and the absence of a long-term care system. Compared to other countries with more integrated elderly healthcare services, Indonesia needs to improve support for this vulnerable group. The study recommends the development of an integrated national policy, improved access to financial assistance, strengthened community-based healthcare services, and long-term funding for elderly care. Further research is needed to assess the effectiveness of existing policies, the role of informal caregivers, and sustainable financing mechanisms to enhance elderly care systems in Indonesia.
Co-Authors Jirapramukpitak, Tawanchai Sari Hastuti, Sari