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...
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| Format: | Working Paper |
| Language: | English en_US |
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World Bank, Washington, DC
2013
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| Online Access: | http://documents.worldbank.org/curated/en/2002/12/4096166/health-strategy-post-crisis-decentralizing-indonesia http://hdl.handle.net/10986/13632 |
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okr-10986-136322021-04-23T14:03:09Z Health Strategy in a Post-Crisis, Decentralized Indonesia Lieberman, Samuel S. Marzoeki, Puti BASIC HEALTH SERVICES COMMUNICABLE DISEASES COMMUNITY HEALTH DEATHS DECENTRALIZATION DECISION MAKING DEVELOPMENT GOALS DISEASE CONTROL DISTRICTS DOCTORS EMPLOYMENT EXPENDITURES EXTERNALITIES EXTERNALITY FAMILIES FAMILY PLANNING HEALTH CARE HEALTH CENTERS HEALTH EDUCATION HEALTH EXPENDITURE HEALTH FACILITIES HEALTH FINANCE HEALTH FINANCING HEALTH FOR ALL HEALTH INDICATORS HEALTH INTERVENTIONS HEALTH INVESTMENTS HEALTH OUTCOMES HEALTH POLICY HEALTH PROGRAMS HEALTH PROMOTION HEALTH REFORM HEALTH SECTOR HEALTH SERVICES HEALTH STATUS HEALTH SYSTEM HEALTH SYSTEM PERFORMANCE HMO HOSPITALS HOUSEHOLDS IMMUNIZATION INFANT MORTALITY INFANT MORTALITY RATE LABORATORIES LAWS LOCAL GOVERNMENTS LOW INCOME MALNUTRITION MEDIA MEDICAL CARE MORBIDITY MORTALITY MOTIVATION NGOS NURSES NURSING NUTRITION OCCUPANCY OCCUPANCY RATES OUTPATIENT CARE PARTNERSHIP PATIENTS PERSONALITY PRIMARY CARE PRIMARY HEALTH CARE PRIVATE SECTOR PROFESSIONAL ORGANIZATIONS PROVIDER INCENTIVES PUBLIC HEALTH PUBLIC HOSPITALS PUBLIC SECTOR PUBLIC SERVICES RESIDENCES SAFETY SCHOOLS SUPERVISION SUSTAINABILITY SUSTAINABLE FINANCING UNIVERSITIES WORKERS HEALTH SYSTEMS DEVELOPMENT & REFORM GOVERNANCE HEALTH ECONOMICS HEALTH CARE ADMINISTRATION HEALTH CARE DELIVERY HEALTH CARE COST CONTROL HEALTH CARE REFORM DECENTRALIZATION GOVERNMENT POLICY CHANGES GOVERNMENT DEREGULATION LOCAL GOVERNMENT PARTICIPATION RESOURCE AVAILABILITY CIVIL SERVICE REFORMS HEALTH CARE FINANCING HEALTH CARE DELIVERY COST ESTIMATES HEALTH INDICATORS PRIMARY HEALTH CARE INTEGRATED HEALTH CARE INEQUITY POLICY REFORM NONGOVERNMENTAL ORGANIZATIONS DONOR PARTICIPATION 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. 2013-05-29T17:15:00Z 2013-05-29T17:15:00Z 2002-12 http://documents.worldbank.org/curated/en/2002/12/4096166/health-strategy-post-crisis-decentralizing-indonesia http://hdl.handle.net/10986/13632 English en_US HNP discussion paper series; CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo/ World Bank World Bank, Washington, DC Publications & Research :: Working Paper Publications & Research East Asia and Pacific Indonesia |
| repository_type |
Digital Repository |
| institution_category |
Foreign Institution |
| institution |
Digital Repositories |
| building |
World Bank Open Knowledge Repository |
| collection |
World Bank |
| language |
English en_US |
| topic |
BASIC HEALTH SERVICES COMMUNICABLE DISEASES COMMUNITY HEALTH DEATHS DECENTRALIZATION DECISION MAKING DEVELOPMENT GOALS DISEASE CONTROL DISTRICTS DOCTORS EMPLOYMENT EXPENDITURES EXTERNALITIES EXTERNALITY FAMILIES FAMILY PLANNING HEALTH CARE HEALTH CENTERS HEALTH EDUCATION HEALTH EXPENDITURE HEALTH FACILITIES HEALTH FINANCE HEALTH FINANCING HEALTH FOR ALL HEALTH INDICATORS HEALTH INTERVENTIONS HEALTH INVESTMENTS HEALTH OUTCOMES HEALTH POLICY HEALTH PROGRAMS HEALTH PROMOTION HEALTH REFORM HEALTH SECTOR HEALTH SERVICES HEALTH STATUS HEALTH SYSTEM HEALTH SYSTEM PERFORMANCE HMO HOSPITALS HOUSEHOLDS IMMUNIZATION INFANT MORTALITY INFANT MORTALITY RATE LABORATORIES LAWS LOCAL GOVERNMENTS LOW INCOME MALNUTRITION MEDIA MEDICAL CARE MORBIDITY MORTALITY MOTIVATION NGOS NURSES NURSING NUTRITION OCCUPANCY OCCUPANCY RATES OUTPATIENT CARE PARTNERSHIP PATIENTS PERSONALITY PRIMARY CARE PRIMARY HEALTH CARE PRIVATE SECTOR PROFESSIONAL ORGANIZATIONS PROVIDER INCENTIVES PUBLIC HEALTH PUBLIC HOSPITALS PUBLIC SECTOR PUBLIC SERVICES RESIDENCES SAFETY SCHOOLS SUPERVISION SUSTAINABILITY SUSTAINABLE FINANCING UNIVERSITIES WORKERS HEALTH SYSTEMS DEVELOPMENT & REFORM GOVERNANCE HEALTH ECONOMICS HEALTH CARE ADMINISTRATION HEALTH CARE DELIVERY HEALTH CARE COST CONTROL HEALTH CARE REFORM DECENTRALIZATION GOVERNMENT POLICY CHANGES GOVERNMENT DEREGULATION LOCAL GOVERNMENT PARTICIPATION RESOURCE AVAILABILITY CIVIL SERVICE REFORMS HEALTH CARE FINANCING HEALTH CARE DELIVERY COST ESTIMATES HEALTH INDICATORS PRIMARY HEALTH CARE INTEGRATED HEALTH CARE INEQUITY POLICY REFORM NONGOVERNMENTAL ORGANIZATIONS DONOR PARTICIPATION |
| spellingShingle |
BASIC HEALTH SERVICES COMMUNICABLE DISEASES COMMUNITY HEALTH DEATHS DECENTRALIZATION DECISION MAKING DEVELOPMENT GOALS DISEASE CONTROL DISTRICTS DOCTORS EMPLOYMENT EXPENDITURES EXTERNALITIES EXTERNALITY FAMILIES FAMILY PLANNING HEALTH CARE HEALTH CENTERS HEALTH EDUCATION HEALTH EXPENDITURE HEALTH FACILITIES HEALTH FINANCE HEALTH FINANCING HEALTH FOR ALL HEALTH INDICATORS HEALTH INTERVENTIONS HEALTH INVESTMENTS HEALTH OUTCOMES HEALTH POLICY HEALTH PROGRAMS HEALTH PROMOTION HEALTH REFORM HEALTH SECTOR HEALTH SERVICES HEALTH STATUS HEALTH SYSTEM HEALTH SYSTEM PERFORMANCE HMO HOSPITALS HOUSEHOLDS IMMUNIZATION INFANT MORTALITY INFANT MORTALITY RATE LABORATORIES LAWS LOCAL GOVERNMENTS LOW INCOME MALNUTRITION MEDIA MEDICAL CARE MORBIDITY MORTALITY MOTIVATION NGOS NURSES NURSING NUTRITION OCCUPANCY OCCUPANCY RATES OUTPATIENT CARE PARTNERSHIP PATIENTS PERSONALITY PRIMARY CARE PRIMARY HEALTH CARE PRIVATE SECTOR PROFESSIONAL ORGANIZATIONS PROVIDER INCENTIVES PUBLIC HEALTH PUBLIC HOSPITALS PUBLIC SECTOR PUBLIC SERVICES RESIDENCES SAFETY SCHOOLS SUPERVISION SUSTAINABILITY SUSTAINABLE FINANCING UNIVERSITIES WORKERS HEALTH SYSTEMS DEVELOPMENT & REFORM GOVERNANCE HEALTH ECONOMICS HEALTH CARE ADMINISTRATION HEALTH CARE DELIVERY HEALTH CARE COST CONTROL HEALTH CARE REFORM DECENTRALIZATION GOVERNMENT POLICY CHANGES GOVERNMENT DEREGULATION LOCAL GOVERNMENT PARTICIPATION RESOURCE AVAILABILITY CIVIL SERVICE REFORMS HEALTH CARE FINANCING HEALTH CARE DELIVERY COST ESTIMATES HEALTH INDICATORS PRIMARY HEALTH CARE INTEGRATED HEALTH CARE INEQUITY POLICY REFORM NONGOVERNMENTAL ORGANIZATIONS DONOR PARTICIPATION Lieberman, Samuel S. Marzoeki, Puti Health Strategy in a Post-Crisis, Decentralized Indonesia |
| geographic_facet |
East Asia and Pacific Indonesia |
| relation |
HNP discussion paper series; |
| description |
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. |
| format |
Publications & Research :: Working Paper |
| author |
Lieberman, Samuel S. Marzoeki, Puti |
| author_facet |
Lieberman, Samuel S. Marzoeki, Puti |
| author_sort |
Lieberman, Samuel S. |
| title |
Health Strategy in a Post-Crisis, Decentralized Indonesia |
| title_short |
Health Strategy in a Post-Crisis, Decentralized Indonesia |
| title_full |
Health Strategy in a Post-Crisis, Decentralized Indonesia |
| title_fullStr |
Health Strategy in a Post-Crisis, Decentralized Indonesia |
| title_full_unstemmed |
Health Strategy in a Post-Crisis, Decentralized Indonesia |
| title_sort |
health strategy in a post-crisis, decentralized indonesia |
| publisher |
World Bank, Washington, DC |
| publishDate |
2013 |
| url |
http://documents.worldbank.org/curated/en/2002/12/4096166/health-strategy-post-crisis-decentralizing-indonesia http://hdl.handle.net/10986/13632 |
| _version_ |
1764424278820782080 |