{"id":17810,"date":"2026-04-08T09:28:51","date_gmt":"2026-04-08T02:28:51","guid":{"rendered":"https:\/\/fkg.ugm.ac.id\/?p=17810"},"modified":"2026-04-08T09:28:54","modified_gmt":"2026-04-08T02:28:54","slug":"mahligai-pelayanan-kesehatan-gigi-mulut-di-indonesia","status":"publish","type":"post","link":"https:\/\/fkg.ugm.ac.id\/en\/mahligai-pelayanan-kesehatan-gigi-mulut-di-indonesia\/","title":{"rendered":"The \u2018Palace\u2019 of Dental and Oral Healthcare Services in Indonesia"},"content":{"rendered":"

Inaugural Professorial Address of Prof. Dr. drg. Julita Hendrartini, M.Kes., FISDPH., FISPD. in the Field of Dental Policy, Management, and Financing at FKG UGM<\/strong><\/p>\n\n\n\n

Amid Indonesia\u2019s grand ambitions for national healthcare development, one fundamental issue still escapes serious attention: inequality in dental and oral healthcare services.\nIn her professorial inaugural speech at Universitas Gadjah Mada, Prof. Dr. drg. Julita Hendrartini revealed a striking reality: the expansion of health insurance coverage has not automatically resulted in equitable access to healthcare services.\n(Tuesday, April 7, 2026)<\/p>\n\n\n\n

Throughout a decade of implementing the National Health Insurance system (JKN), the government has indeed succeeded in expanding financial protection coverage. However, behind this achievement lies a paradox: possessing insurance coverage does not necessarily correlate with real access to dental healthcare services.<\/p>\n\n\n\n

National data reveal a wide gap between healthcare needs and actual utilization of services. This is not merely a technical service issue, but a reflection of systemic failure.<\/p>\n\n\n\n

The Root of the Problem: Structured Inequality<\/strong><\/p>\n\n\n\n

Prof. Julita emphasized that inequality in dental healthcare services is not a singular phenomenon, but rather the result of complex interactions among multiple structural factors:<\/p>\n\n\n\n

Unequal Distribution of Dentists<\/strong><\/p>\n\n\n\n

The main issue is not the shortage of dentists, but their distribution.\nThousands of dentists graduate every year, yet most remain concentrated in major cities. As a result, more than a quarter of community health centers (puskesmas) in Indonesia do not even have a dentist.<\/p>\n\n\n\n

This phenomenon reflects policy failure in regulating incentives and workforce placement strategies. Remote regions remain unattractive due to limited career guarantees, inadequate facilities, and lack of professional development opportunities.<\/p>\n\n\n\n

Layered Geographic Barriers<\/strong><\/p>\n\n\n\n

As an archipelagic nation, Indonesia faces serious geographic challenges.\nHealthcare access is determined not only by the existence of facilities, but also by distance, transportation, and infrastructure.<\/p>\n\n\n\n

Communities in remote regions experience \u201clayered inequality\u201d: far from facilities, lacking healthcare workers, and economically disadvantaged.<\/p>\n\n\n\n

Financing Schemes Insufficiently Focused on Equity<\/strong><\/p>\n\n\n\n

The financing design within JKN is considered insufficient in promoting equitable healthcare distribution. Imbalanced financial incentives can influence healthcare worker behavior, including decisions regarding treatment types and referrals.<\/p>\n\n\n\n

Furthermore, dental services are more frequently utilized by wealthier population groups\u2014strong evidence that the system has not fully prioritized vulnerable communities.<\/p>\n\n\n\n

Policies That Are Too Curative<\/strong><\/p>\n\n\n\n

Dental healthcare services remain heavily oriented toward curative rather than preventive approaches. As a consequence, the system becomes reactive and more expensive in the long term.<\/p>\n\n\n\n

Preventive interventions such as education and early detection are actually far more effective in reducing disease burdens.<\/p>\n\n\n\n

Limitations in Specialist Education<\/strong><\/p>\n\n\n\n

Among dozens of dental faculties in Indonesia, only a small number are capable of producing specialist dentists. As a result, referral services in hospitals remain far from adequate.<\/p>\n\n\n\n

Adding More Dentists Is Not the Solution<\/strong><\/p>\n\n\n\n

One of the most critical points in the speech was Prof. Julita\u2019s rejection of the \u201cinstant\u201d solution of simply increasing the number of dentists.<\/p>\n\n\n\n

According to her, such an approach is overly simplistic and ignores the root causes of the problem. Without reforms in incentives, distribution systems, and policy structures, adding more healthcare personnel will only worsen inequality because they will continue concentrating in the same regions.<\/p>\n\n\n\n

The Way Forward: Systemic Reform, Not Patchwork Solutions<\/strong><\/p>\n\n\n\n

The speech did not stop at criticism. Several strategic solutions were proposed through a more structural approach, including: reforming healthcare workforce distribution based on actual regional needs, equity-based incentives for remote regions, performance-based payments encouraging preventive services, strengthening strategic purchasingby <\/strong>BPJS Kesehatan to map regional needs, integrating dental healthcare into primary healthcare systems, utilizing technologies such as tele-dentistry, implementing task shifting to other healthcare workers in areas without dentists, and developing a national dashboard to monitor inequality in real time. \nMost fundamentally, the proposed paradigm shift moves healthcare from a curative system toward prevention-based justice and equity.<\/p>\n\n\n\n

A Reflection of Structural Inequality in Indonesia\u2019s Healthcare System<\/strong><\/p>\n\n\n\n

What Prof. Julita revealed was not merely about dental healthcare.\nIt reflects a broader portrait of Indonesia\u2019s healthcare system: structural inequality.\nAlthough revolutionary in expanding coverage, JKN has not fully addressed the dimension of equitable distribution. The system still tends to \u201cfollow the market,\u201d where services develop primarily in already advanced regions.\nWithout strong policy intervention, this inequality risks widening further, especially as Indonesia moves toward its vision of Golden Indonesia 2045.<\/p>\n\n\n\n

\n
\"\"<\/figure>\n<\/figure>\n\n\n\n

A Momentum for Reform<\/strong><\/p>\n\n\n\n

Healthcare access is not merely about financing\u2014it is about whether the system truly takes sides with justice.\nInequality in dental services proves that healthcare development in Indonesia is still not fully inclusive. If an issue that appears relatively \u201csmall\u201d remains unresolved, then the challenges across the broader healthcare sector are undoubtedly far greater.<\/p>\n\n\n\n

The lingering question is this: after the existence of such scientific studies, will there be sufficient political courage to fundamentally reform Indonesia\u2019s healthcare system?\nHopefully.<\/p>\n\n\n\n

(Reporter: Andri Wicaksono | Photography: Dody Hendro Wibowo)<\/p>","protected":false},"excerpt":{"rendered":"

Pengukuhan Guru Besar Prof. Dr. drg. Julita Hendrartini, M.Kes., FISDPH, FISPD Bidang Kebijakan, Manajemen & Pembiayaan Kedokteran Gigi FKG UGM Di tengah ambisi besar pembangunan kesehatan nasional, satu persoalan mendasar justru masih luput dari perhatian serius: ketimpangan layanan kesehatan gigi dan mulut. Dalam pidato pengukuhan guru besar di Universitas Gadjah Mada, Prof. Dr. drg. Julita […]<\/p>\n","protected":false},"author":295,"featured_media":17811,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[136],"tags":[298,302,307,289,291,293,297],"class_list":["post-17810","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-berita-terbaru","tag-sdg-10-mengurangi-ketidaksetaraan","tag-sdg-12-konsumsi-dan-produksi-yang-bertanggung-jawab","tag-sdg-17-kemitraan-untuk-mencapai-tujuan","tag-sdg-3-kesehatan-dan-kesejahteraan-yang-baik","tag-sdg-4-pendidikan-berkualitas","tag-sdg-5-kesetaraan-gender","tag-sdg-9-industri-inovasi-dan-infrastruktur"],"gutentor_comment":0,"yoast_head":"\n\u2018Mahligai\u2019 Pelayanan Kesehatan Gigi & Mulut di Indonesia - Fakultas Kedokteran Gigi<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/fkg.ugm.ac.id\/en\/mahligai-pelayanan-kesehatan-gigi-mulut-di-indonesia\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"\u2018Mahligai\u2019 Pelayanan Kesehatan Gigi & Mulut di Indonesia - Fakultas Kedokteran Gigi\" \/>\n<meta property=\"og:description\" content=\"Pengukuhan Guru Besar Prof. Dr. drg. 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