Analysis of First Level Health Care Facility (FKTP) Readiness as 'Gatekeeper' on The JKN Implementation in East Kalimantan and Central Java']Java Year 2014

Background: FKTP as a gatekeeperhas four function such us: the first contact, sustainability, comprehensive health care and coordination. Readiness from input aspects on health care involves health care facilities, finance, human resources, medicines and medical devices. This research is to identify the FKTP readiness as a gatekeeper in the in the implementationof JKN in East Kalimantan and Central Java. Methods: Data collection wasby conducting interviews, observation and documents' review. The data analysis techniques were descriptive statistics for quantitative and Miles, Huberman and Spradley concept qualitative. There were 6 health centers, 2 primary clinics, 6 doctors and 3 private dentistry clinics for each province. Results: The numbers of FKTP availability were 23.7 health centers and 3.2 primary clinics per district/city. The average was 51.7 FKTP per district/city. Not all of primary clinics facilited by inpatient care. There were 44% primary clinics facilitated by laboratory and 56% in collaboration with privatelaboratory. The highest ratio of number of members by the population was Surakarta i.e. 1 member by 1.98 population. While, the lowest was East Kutai with 1 member by 4.65 population. All health centres had been implementing gatekeeper functions. Most of primary clinics had been done the functions while less of them had not already implemented excellent service yet. Phycisians had implemented their functions as the first contact and coordination very well. Moreover, dentist did the same as the fi rst contact. Conclusion: Availability of health centers as FKTP was adequate. Health centers were also ready to function as a gatekeeper for JKN implementation. Primary clinics were ready for the first contact and coordination; and dentist as the first contact were all ready. Recomendation: The numbers of health facilities need to be build and improved according to district/city's capability. Moreover, health workers' distribution should be focussed to primary health care.