The indigenous communities assisted by YCMM generally live in areas where it is difficult to access information because they are located far upstream of the river, such as Salappa Hamlet, Bekkeiluk Hamlet and Magosi.
From several field visits to the area, the community had great difficulty in getting information about basic services, one of which was accessing BPJS. Even some people who already have BPJS experience problems in ensuring whether their BPJS card is active or not.
There are cases where people who seek treatment use a BPJS card but it turns out it is not active, so it needs to be reactivated which takes around 2 weeks, while the patient must be referred immediately to the city of Padang, so the patient's family is forced to take care of BPJS independently by paying the arrears themselves. previously.
On April 11 2023, a Health Service meeting was held to discuss how to detect the BPJS status of communities in the upstream areas of the river. The head of the health service, Desti Seminora, said that the public should coordinate with the nearest medical officer to carry out checks.
The obstacle that has made it difficult for medical staff is the network not being available. The Health Service will try to coordinate with dukcapil, social services and the BPJS office to formulate a system that can detect early if there are people whose BPJS is no longer active, so that it can be conveyed to the relevant village government for follow-up. However, currently the authority of the Health Service is limited to making payments to BPJS that have been used.
