Revealing the Missing Link : Private Sector Supply-Side Readiness for Primary Maternal Health Services in Indonesia
Every six hours, the death of a woman from the complications of pregnancy serves as the most vexing reminder of Indonesia’s challenges with maternal health (MH). This is incommensurate with Indonesia’s strong economic development and stature compar...
| Main Authors: | , , , , |
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| Format: | Report |
| Language: | English en_US |
| Published: |
World Bank, Washington, DC
2017
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| Subjects: | |
| Online Access: | http://documents.worldbank.org/curated/en/418491498057482805/Revealing-the-missing-link-private-sector-supply-side-readiness-for-primary-maternal-health-services-in-Indonesia http://hdl.handle.net/10986/27469 |
| Summary: | Every six hours, the death of a woman
from the complications of pregnancy serves as the most
vexing reminder of Indonesia’s challenges with maternal
health (MH). This is incommensurate with Indonesia’s strong
economic development and stature compared with regional
peers, especially as MH is a marker of overall health system
performance and affects economic opportunities especially
for the poor. The maternal mortality ratio (MMR) is high and
progress on improving MH outcomes has been slow, such that
the MH Millennium Development Goal (MDG) has already been
missed. This policy paper analyzes new data on the ‘missing
link’ of primary MH service provision, i.e., private
providers, which is critical given that 54 percent of all
deliveries in Indonesia occurred in the private sector,
compared with 22 percent in the public sector, although
overall rates of institutional deliveries remain below
target. Key findings from the analysis elucidate the
potential value of the private sector in expanding access to
MH services covered by the financial purchasing and
strategic purchasing umbrella of JKN, the effectiveness of
these private MH services, and patient satisfaction. The
remainder of the policy paper is structured as follows: The
next section provides some background on Indonesia,
including general health-related outcomes and an overview of
the country’s health system and financing. Section III
focuses on MH outcomes and context, including comparisons
with global peers, and provides an overview of provision,
utilization, and financing of MH services in the country,
underscoring the importance of private providers. Section IV
summarizes the distributional context and service readiness
of private MH providers across the 64 high-priority
districts, including a comparison with public providers for
context. Section V concludes with a summary of key findings
and their policy implications. |
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