Health Strategy in a Post-Crisis, Decentralized Indonesia
The study reviews the strategy for a prospective health development, and the health benefits associated with decentralization, in a likely challenging near to medium term period in Indonesia. It addresses the major government reorganization, expect...
| Main Authors: | , |
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| Format: | Working Paper |
| Language: | English en_US |
| Published: |
World Bank, Washington, DC
2013
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| Subjects: | |
| Online Access: | http://documents.worldbank.org/curated/en/2002/12/4096166/health-strategy-post-crisis-decentralizing-indonesia http://hdl.handle.net/10986/13632 |
| Summary: | The study reviews the strategy for a
prospective health development, and the health benefits
associated with decentralization, in a likely challenging
near to medium term period in Indonesia. It addresses the
major government reorganization, expected to take effect in
January 2001, which could well define the social process
during the next decade, consisting of decentralization of
spending authority, enhanced access to resources at local
government levels, and civil service reform. The potential
health system benefits, associated with decentralization,
will enable citizens to become involved systematically in
decisions regarding health policy, design, and financing, as
well as influencing service provision. The report describes
the health system performance, and costs in the country,
namely an adaptation of health for all, aimed at a wide
coverage, featuring integrated service provision at the
primary health level. However, mixed results proved great
imbalances, for low income families lagged behind other
quintiles in terms of infant mortality rates, prevalence of
specific diseases, and nutrition problems, while households
in the top expenditure distribution, proved high uses of
public facilities, compared to the bottom expenditure
distribution. The pre-crisis policy is examined, i.e., the
impacts on the provider-client equation; and, policy options
offer opportunities through decentralization, reform related
issues, and effective partnerships with non-governmental
organizations, and donors. |
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