National Health Management Framework: PERPRES 13/2026

Indonesia has issued Presidential Regulation 13 of 2026 on Health Management (Peraturan Presiden Nomor 13 Tahun 2026 tentang Pengelolaan Kesehatan), signed by President Prabowo Subianto on 11 March 2026 and promulgated in State Gazette 2026 Number 25. The regulation sets a governance structure for how the central government, provincial governments, regency and city governments, and village governments share the work of delivering health services and managing health resources.

Health administration in Indonesia is spread across four tiers of government and many sectoral ministries, which has long produced gaps in who plans, funds, and monitors specific services. PERPRES 13/2026 responds by defining Pengelolaan Kesehatan, or health management, as the application of governance to both health efforts and health resources, carried out by every level of government in an integrated and mutually supporting manner. Pasal 1 frames health itself broadly, covering physical, mental, and social well-being rather than the mere absence of disease, and defines Upaya Kesehatan (health efforts) as promotive, preventive, curative, rehabilitative, and palliative activities delivered by government and the community together. It also defines Sumber Daya Kesehatan (health resources) as everything needed to carry out those efforts, whether provided by national government, regional government, or the public.

Pasal 3 organizes health management into four stages: policy-setting, planning and budgeting, implementation, and monitoring and evaluation. Pasal 10 places policy-setting at the center of the system, requiring it to serve as the reference for how health management is run. That policy authority is distributed to the central government, provincial governments, and regency and city governments, and may take the form of legislation or of measures outside formal legislation. Pasal 11 clarifies that the central government's authority is exercised by ministries and non-ministerial government agencies according to their respective tasks and functions, and that these bodies must act in a coordinated way consistent with existing law. The regulation's appendix assigns concrete responsibilities across the life course, from maternal, infant, and child health through adolescent, adult, and elderly health, and allocates specific duties to the Ministry of Health, the coordinating ministries, and the Ministry of Home Affairs. For maternal health, for instance, the Ministry of Health sets service standards, delivers services that meet those standards, manages the health resources involved, and conducts monitoring and evaluation across the pre-pregnancy, pregnancy, delivery, and post-delivery periods.

Because the regulation binds every tier of government, provincial and district health offices will need to align their own policies and budgets with the central framework, and the coordinating ministries carry an explicit mandate to synchronize programs across agencies. The Ministry of Home Affairs is directed to set policies that steer regional governments toward harmonized planning, adequate health human resources, and the provision of health facilities that meet standards. The structure connects to sectoral rules already in force, including the licensing and service standards addressed in recent health ministry regulations and the health service provisions that govern day-to-day delivery. Product and facility oversight handled through bodies such as those covered in drug and food supervision sits alongside this governance layer rather than inside it.

Regulatory Context

PERPRES 13/2026 took effect on the date of its promulgation, as stated in Pasal 29. It gives the highest-attainable-health-status objective in national health law a defined administrative pathway, tying that goal to the specific stages of policy-setting, planning, implementation, and evaluation that each level of government must follow, and to a division of labor among the ministries responsible for carrying it out.

Read the full regulation in the CRPG Law Database.

Methodology: This memo summarises the official regulation text and is not legal advice; report corrections to contact@crpg.info.

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