Improving the Quality of Frontline Nutrition Services in Indonesia's Health Sector
In the past two decades, Indonesia significantly improved its economic growth, poverty, and maternal and child health outcomes. Despite these notable achievements, the country's rates of stunting and malnutrition are among the highest in the w...
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| Format: | Working Paper |
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World Bank, Washington, DC
2022
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| Online Access: | http://documents.worldbank.org/curated/en/817451643730633158/Improving-the-Quality-of-Frontline-Nutrition-Services-in-Indonesias-Health-Sector-Discussion-Paper http://hdl.handle.net/10986/36941 |
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okr-10986-369412022-02-10T05:10:35Z Improving the Quality of Frontline Nutrition Services in Indonesia's Health Sector Holschneider, Silvia Subandoro, Ali Winoto Karjadi, Elvina Provo, Anne Marie Herkutanto, Ria Ayuningtyas, Pratiwi Dharmawan, Akim Sudarjo, Minarto Noto MALNUTRITION HEALTH SERVICES STUNTING HEALTHCARE QUALITY NUTRITION INTERVENTION In the past two decades, Indonesia significantly improved its economic growth, poverty, and maternal and child health outcomes. Despite these notable achievements, the country's rates of stunting and malnutrition are among the highest in the world and threaten early childhood development as the stepping-stone of human capital formation. Though government guidelines, standards, and training have helped improve nutrition services in the health sector, there continues to be considerable variation in service quality across districts, between urban and rural areas, and among public and private facilities, with many mothers and children being provided suboptimal services. Malnutrition is a multisectoral issue that is not the “problem” of the health sector alone. However, many of the high-impact health interventions known to improve nutrition outcomes for children are not being implemented in Indonesia, calling for a higher-quality health system to produce better nutrition outcomes. This report analyzes the opportunities to improve the quality of frontline nutrition interventions in Indonesia’s health sector as an element of achieving the National Strategy to Accelerate Stunting Prevention (2018–2021) (StraNas Stunting) goals. It uses a framework adapted from the Lancet Global Health Commission’s report on High-Quality Health Systems in the Sustainable Development Goals Era, which explains that improving the quality of nutrition health care requires system-wide action. In specific, high-quality nutrition services necessitate both process and foundational reforms at the macro, meso, and micro levels. The paper outlines the challenges and proposes recommendations to improve quality nutrition care and services in the country. These are related to strong leadership, harmonized guidelines and targets, and robust regulatory and quality improvement mechanisms; improved monitoring and evaluation and data use; predictable, adequate, and timely financing; platforms for care; competent health workers and a sound supportive supervision system; adequate supplies and functional equipment; and systems that respond to clients’ health needs and expectations. 2022-02-09T16:15:16Z 2022-02-09T16:15:16Z 2021-12-31 Working Paper http://documents.worldbank.org/curated/en/817451643730633158/Improving-the-Quality-of-Frontline-Nutrition-Services-in-Indonesias-Health-Sector-Discussion-Paper http://hdl.handle.net/10986/36941 English Health, Nutrition and Population Discussion Paper; CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo World Bank World Bank, Washington, DC Publications & Research Publications & Research :: Working Paper 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 |
| topic |
MALNUTRITION HEALTH SERVICES STUNTING HEALTHCARE QUALITY NUTRITION INTERVENTION |
| spellingShingle |
MALNUTRITION HEALTH SERVICES STUNTING HEALTHCARE QUALITY NUTRITION INTERVENTION Holschneider, Silvia Subandoro, Ali Winoto Karjadi, Elvina Provo, Anne Marie Herkutanto, Ria Ayuningtyas, Pratiwi Dharmawan, Akim Sudarjo, Minarto Noto Improving the Quality of Frontline Nutrition Services in Indonesia's Health Sector |
| geographic_facet |
East Asia and Pacific Indonesia |
| relation |
Health, Nutrition and Population Discussion Paper; |
| description |
In the past two decades, Indonesia
significantly improved its economic growth, poverty, and
maternal and child health outcomes. Despite these notable
achievements, the country's rates of stunting and
malnutrition are among the highest in the world and threaten
early childhood development as the stepping-stone of human
capital formation. Though government guidelines, standards,
and training have helped improve nutrition services in the
health sector, there continues to be considerable variation
in service quality across districts, between urban and rural
areas, and among public and private facilities, with many
mothers and children being provided suboptimal services.
Malnutrition is a multisectoral issue that is not the
“problem” of the health sector alone. However, many of the
high-impact health interventions known to improve nutrition
outcomes for children are not being implemented in
Indonesia, calling for a higher-quality health system to
produce better nutrition outcomes. This report analyzes the
opportunities to improve the quality of frontline nutrition
interventions in Indonesia’s health sector as an element of
achieving the National Strategy to Accelerate Stunting
Prevention (2018–2021) (StraNas Stunting) goals. It uses a
framework adapted from the Lancet Global Health Commission’s
report on High-Quality Health Systems in the Sustainable
Development Goals Era, which explains that improving the
quality of nutrition health care requires system-wide
action. In specific, high-quality nutrition services
necessitate both process and foundational reforms at the
macro, meso, and micro levels. The paper outlines the
challenges and proposes recommendations to improve quality
nutrition care and services in the country. These are
related to strong leadership, harmonized guidelines and
targets, and robust regulatory and quality improvement
mechanisms; improved monitoring and evaluation and data use;
predictable, adequate, and timely financing; platforms for
care; competent health workers and a sound supportive
supervision system; adequate supplies and functional
equipment; and systems that respond to clients’ health needs
and expectations. |
| format |
Working Paper |
| author |
Holschneider, Silvia Subandoro, Ali Winoto Karjadi, Elvina Provo, Anne Marie Herkutanto, Ria Ayuningtyas, Pratiwi Dharmawan, Akim Sudarjo, Minarto Noto |
| author_facet |
Holschneider, Silvia Subandoro, Ali Winoto Karjadi, Elvina Provo, Anne Marie Herkutanto, Ria Ayuningtyas, Pratiwi Dharmawan, Akim Sudarjo, Minarto Noto |
| author_sort |
Holschneider, Silvia |
| title |
Improving the Quality of Frontline Nutrition Services in Indonesia's Health Sector |
| title_short |
Improving the Quality of Frontline Nutrition Services in Indonesia's Health Sector |
| title_full |
Improving the Quality of Frontline Nutrition Services in Indonesia's Health Sector |
| title_fullStr |
Improving the Quality of Frontline Nutrition Services in Indonesia's Health Sector |
| title_full_unstemmed |
Improving the Quality of Frontline Nutrition Services in Indonesia's Health Sector |
| title_sort |
improving the quality of frontline nutrition services in indonesia's health sector |
| publisher |
World Bank, Washington, DC |
| publishDate |
2022 |
| url |
http://documents.worldbank.org/curated/en/817451643730633158/Improving-the-Quality-of-Frontline-Nutrition-Services-in-Indonesias-Health-Sector-Discussion-Paper http://hdl.handle.net/10986/36941 |
| _version_ |
1764486269266558976 |