Health Strategy in a Post-Crisis, Decentralized Indonesia

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dc.creatorLieberman, Samuel S.
dc.creatorMarzoeki, Puti
dc.date2013-05-29T17:15:00Z
dc.date2013-05-29T17:15:00Z
dc.date2002-12
dc.date.accessioned2026-07-01T01:13:01Z
dc.descriptionThe 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.
dc.formatapplication/pdf
dc.formattext/plain
dc.identifierhttp://documents.worldbank.org/curated/en/2002/12/4096166/health-strategy-post-crisis-decentralizing-indonesia
dc.identifierhttps://hdl.handle.net/10986/13632
dc.identifierhttps://doi.org/10.1596/13632
dc.identifier.urihttp://hdl.handle.net/123456789/416190
dc.languageEnglish
dc.languageen_US
dc.publisherWorld Bank, Washington, DC
dc.relationHNP discussion paper series;
dc.rightsCC BY 3.0 IGO
dc.rightshttp://creativecommons.org/licenses/by/3.0/igo/
dc.rightsWorld Bank
dc.subjectBASIC HEALTH SERVICES
dc.subjectCOMMUNICABLE DISEASES
dc.subjectCOMMUNITY HEALTH
dc.subjectDEATHS
dc.subjectDECENTRALIZATION
dc.subjectDECISION MAKING
dc.subjectDEVELOPMENT GOALS
dc.subjectDISEASE CONTROL
dc.subjectDISTRICTS
dc.subjectDOCTORS
dc.subjectEMPLOYMENT
dc.subjectEXPENDITURES
dc.subjectEXTERNALITIES
dc.subjectEXTERNALITY
dc.subjectFAMILIES
dc.subjectFAMILY PLANNING
dc.subjectHEALTH CARE
dc.subjectHEALTH CENTERS
dc.subjectHEALTH EDUCATION
dc.subjectHEALTH EXPENDITURE
dc.subjectHEALTH FACILITIES
dc.subjectHEALTH FINANCE
dc.subjectHEALTH FINANCING
dc.subjectHEALTH FOR ALL
dc.subjectHEALTH INDICATORS
dc.subjectHEALTH INTERVENTIONS
dc.subjectHEALTH INVESTMENTS
dc.subjectHEALTH OUTCOMES
dc.subjectHEALTH POLICY
dc.subjectHEALTH PROGRAMS
dc.subjectHEALTH PROMOTION
dc.subjectHEALTH REFORM
dc.subjectHEALTH SECTOR
dc.subjectHEALTH SERVICES
dc.subjectHEALTH STATUS
dc.subjectHEALTH SYSTEM
dc.subjectHEALTH SYSTEM PERFORMANCE
dc.subjectHMO
dc.subjectHOSPITALS
dc.subjectHOUSEHOLDS
dc.subjectIMMUNIZATION
dc.subjectINFANT MORTALITY
dc.subjectINFANT MORTALITY RATE
dc.subjectLABORATORIES
dc.subjectLAWS
dc.subjectLOCAL GOVERNMENTS
dc.subjectLOW INCOME
dc.subjectMALNUTRITION
dc.subjectMEDIA
dc.subjectMEDICAL CARE
dc.subjectMORBIDITY
dc.subjectMORTALITY
dc.subjectMOTIVATION
dc.subjectNGOS
dc.subjectNURSES
dc.subjectNURSING
dc.subjectNUTRITION
dc.subjectOCCUPANCY
dc.subjectOCCUPANCY RATES
dc.subjectOUTPATIENT CARE
dc.subjectPARTNERSHIP
dc.subjectPATIENTS
dc.subjectPERSONALITY
dc.subjectPRIMARY CARE
dc.subjectPRIMARY HEALTH CARE
dc.subjectPRIVATE SECTOR
dc.subjectPROFESSIONAL ORGANIZATIONS
dc.subjectPROVIDER INCENTIVES
dc.subjectPUBLIC HEALTH
dc.subjectPUBLIC HOSPITALS
dc.subjectPUBLIC SECTOR
dc.subjectPUBLIC SERVICES
dc.subjectRESIDENCES
dc.subjectSAFETY
dc.subjectSCHOOLS
dc.subjectSUPERVISION
dc.subjectSUSTAINABILITY
dc.subjectSUSTAINABLE FINANCING
dc.subjectUNIVERSITIES
dc.subjectWORKERS HEALTH SYSTEMS DEVELOPMENT & REFORM
dc.subjectGOVERNANCE
dc.subjectHEALTH ECONOMICS HEALTH CARE ADMINISTRATION
dc.subjectHEALTH CARE DELIVERY
dc.subjectHEALTH CARE COST CONTROL
dc.subjectHEALTH CARE REFORM
dc.subjectDECENTRALIZATION
dc.subjectGOVERNMENT POLICY CHANGES
dc.subjectGOVERNMENT DEREGULATION
dc.subjectLOCAL GOVERNMENT PARTICIPATION
dc.subjectRESOURCE AVAILABILITY
dc.subjectCIVIL SERVICE REFORMS
dc.subjectHEALTH CARE FINANCING
dc.subjectHEALTH CARE DELIVERY
dc.subjectCOST ESTIMATES
dc.subjectHEALTH INDICATORS
dc.subjectPRIMARY HEALTH CARE
dc.subjectINTEGRATED HEALTH CARE
dc.subjectINEQUITY
dc.subjectPOLICY REFORM
dc.subjectNONGOVERNMENTAL ORGANIZATIONS
dc.subjectDONOR PARTICIPATION
dc.titleHealth Strategy in a Post-Crisis, Decentralized Indonesia

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