In an archipelago country like Indonesia, the financial barrier is not the only barrier to healthcare access, but also the socio-geographical barrier. Health facilities are distributed unevenly throughout the nation, where hospitals are only available at the district level. The lack of infrastructure to reach the hospitals is another challenge for rural patients to receive treatment. On the other hand, there are sufficient numbers of primary healthcare facilities in the rural areas, which are not utilized optimally.

Indonesian Social Security Administering Bodies Health (BPJS-Health), in its efforts to increase access and improve health outcomes, especially to those chronically ill patients in the rural areas, came up with a programme called Programme Rujuk Balik (PRB) or shared management programme in chronic disease management.

This good practice elaborates on the implementation of the programme, the impacts and the challenges of the implementation. In the end, this good practice will show that the programme has improved access to healthcare for chronic illnesses and reduced outpatient admissions to the hospitals.