Do Grants to Communities Lead to Better Health and Education?
Indonesia, like many middle income countries, has difficulty providing universal access to education and adequate access to healthcare, particularly in poor and rural areas. To tackle these problems, the Government of Indonesia launched two large-s...
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| Format: | Brief |
| Language: | English en_US |
| Published: |
Washington, DC
2014
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| Online Access: | http://documents.worldbank.org/curated/en/2013/02/17427214/grants-communities-lead-better-health-education http://hdl.handle.net/10986/17036 |
| Summary: | Indonesia, like many middle income
countries, has difficulty providing universal access to
education and adequate access to healthcare, particularly in
poor and rural areas. To tackle these problems, the
Government of Indonesia launched two large-scale programs in
2007. The programs both relied on cash transfers, but one
targeted households and one targeted communities. In both
cases, the transfers were designed to encourage families to
meet basic health and education indicators, including
prenatal visits for pregnant women, childhood immunization,
regular weight monitoring, and school attendance. To push
communities to focus on the most effective policies, a
portion of subsequent year grants is based on how well
communities do in meeting the previous year's health
and education targets. In this way, the program takes
aspects of conditional cash transfer and pay-for-performance
programs and reformulates them to encourage community-wide
performance and accountability. In order to test the
effectiveness of linking grants to the previous year's
performance, a second version of the program was carried out
in which communities received the money irrespective of the
previous year's performance. The grants have ranged
from an average of $8,500 in 2007 to $18,200 in 2009. This
World Bank supported program now reaches about 5.4 million people. |
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