Rano Highlights Need to Revise Health System Regulations

Jakarta Vice Governor Rano Karno, during a plenary session of the City Council (DPRD) on Monday (5/4), outlined the executive's reasons for proposing a revision to Regional Regulation No. 4/2009 on the regional health system.

A more modern, integrated, responsive, and equitable regional health system to address current challenges

"Regional Regulation No. 4/2009 has been in force for more than 15 years and is no longer aligned with current developments in the health sector," Rano said.

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He added that the issuance of Law (UU) No. 17/2023 on Health and its implementing regulations has brought fundamental changes to the governance of the national health system.

Therefore, adjustments are needed to prevent regulatory disharmony that could lead to legal uncertainty and reduce the effectiveness of healthcare services in Jakarta.

Beyond regulatory aspects, Rano said the revision is also driven by major changes following the COVID-19 pandemic, which highlighted the need for a stronger, more adaptive, and resilient health system in responding to crises.

According to him, the pandemic underscored the importance of health system resilience, stronger data and service integration, and preparedness for outbreaks and health emergencies.

Rano noted that Jakarta is currently facing increasingly complex health challenges, including the rise in non-communicable diseases, the continued prevalence of infectious diseases, and vulnerability to outbreaks and health crises.

Other challenges include disparities in access to and quality of services across regions and population groups, as well as suboptimal integration of service systems, health data, and overall governance.

He added that urban environmental issues such as air pollution, population density, and climate change also affect public health.

"Jakarta needs a more modern, integrated, responsive, and equitable regional health system to address current challenges while anticipating future needs," he emphasized.

Rano stressed that the drafting of the proposed regulation (Raperda) is part of implementing the National Medium-Term Development Plan and Jakarta's Regional Medium-Term Development Plan, both of which focus on strengthening human capital development.

Through this Raperda, the administration aims to ensure integration between planning, budgeting, and healthcare services so that the system can operate more effectively, efficiently, and sustainably.

He outlined several key objectives of the proposed Raperda, including promoting healthy lifestyles, improving access to and quality of healthcare services, and optimizing the management of health resources.

Other goals include ensuring equitable and adequate healthcare services, strengthening resilience in facing outbreaks and emergencies, securing sustainable health financing, and providing legal protection and certainty for the public and healthcare workers.

"We hope to build a more optimal, resilient, and integrated regional health system for the people of Jakarta," he said.