Health Strategy in a Post-Crisis, Decentralizing 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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Main Author:	World Bank
Format:	Pre-2003 Economic or Sector Report
Language:	English en_US
Published:	Washington, DC 2013
Subjects:	ALLIANCES BASIC HEALTH SERVICES CITIES COMMUNICABLE DISEASES COMMUNITY HEALTH DEATHS DECENTRALIZATION DECISION MAKING DISEASE CONTROL DISTRICTS DOCTORS EMPLOYMENT ESSENTIAL DRUGS 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 OUTCOMES HEALTH POLICIES 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 INFANT MORTALITY RATES INFANTS LABORATORIES LAWS LOCAL GOVERNMENTS LOW INCOME MALARIA MALNUTRITION MEDIA MEDICAL CARE MEDICAL TREATMENT MEDICINES MORBIDITY MORTALITY NGOS NURSES NURSING NUTRITION NUTRITIONAL STATUS OCCUPANCY OCCUPANCY RATES OUTPATIENT CARE PARTNERSHIP PATIENTS PERSONALITY POVERTY REDUCTION PRIMARY CARE PRIMARY HEALTH CARE PRIVATE SECTOR PROFESSIONAL ORGANIZATIONS PROVIDER INCENTIVES PUBLIC HEALTH PUBLIC HOSPITALS PUBLIC SECTOR PUBLIC SERVICES RESIDENCES RURAL AREAS SAFETY SCHOOLS SELF CARE SUPERVISION SUSTAINABLE FINANCING UNIVERSITIES WORKERS HEALTH CARE ADMINISTRATION HEALTH CARE DELIVERY HEALTH CARE COST CONTROL HEALTH CARE REFORM GOVERNMENT POLICY CHANGES GOVERNMENT DEREGULATION LOCAL GOVERNMENT PARTICIPATION RESOURCE AVAILABILITY CIVIL SERVICE REFORMS HEALTH CARE FINANCING COST ESTIMATES INTEGRATED HEALTH CARE INEQUITY POLICY REFORM NONGOVERNMENTAL ORGANIZATIONS DONOR PARTICIPATION
Online Access:	http://documents.worldbank.org/curated/en/2000/11/1047333/indonesia-health-strategy-post-crisis-decentralizing-indonesia http://hdl.handle.net/10986/15707

id	okr-10986-15707
recordtype	oai_dc
spelling	okr-10986-157072021-04-23T14:03:13Z Health Strategy in a Post-Crisis, Decentralizing Indonesia World Bank ALLIANCES BASIC HEALTH SERVICES CITIES COMMUNICABLE DISEASES COMMUNITY HEALTH DEATHS DECENTRALIZATION DECISION MAKING DISEASE CONTROL DISTRICTS DOCTORS EMPLOYMENT ESSENTIAL DRUGS 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 OUTCOMES HEALTH POLICIES 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 INFANT MORTALITY RATES INFANTS LABORATORIES LAWS LOCAL GOVERNMENTS LOW INCOME MALARIA MALNUTRITION MEDIA MEDICAL CARE MEDICAL TREATMENT MEDICINES MORBIDITY MORTALITY NGOS NURSES NURSING NUTRITION NUTRITIONAL STATUS OCCUPANCY OCCUPANCY RATES OUTPATIENT CARE PARTNERSHIP PATIENTS PERSONALITY POVERTY REDUCTION PRIMARY CARE PRIMARY HEALTH CARE PRIVATE SECTOR PROFESSIONAL ORGANIZATIONS PROVIDER INCENTIVES PUBLIC HEALTH PUBLIC HOSPITALS PUBLIC SECTOR PUBLIC SERVICES RESIDENCES RURAL AREAS SAFETY SCHOOLS SELF CARE SUPERVISION SUSTAINABLE FINANCING UNIVERSITIES WORKERS 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. 2013-09-09T19:01:38Z 2013-09-09T19:01:38Z 2000-11-17 http://documents.worldbank.org/curated/en/2000/11/1047333/indonesia-health-strategy-post-crisis-decentralizing-indonesia http://hdl.handle.net/10986/15707 English en_US CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo/ World Bank Washington, DC Economic & Sector Work :: Pre-2003 Economic or Sector Report Economic & Sector Work 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	ALLIANCES BASIC HEALTH SERVICES CITIES COMMUNICABLE DISEASES COMMUNITY HEALTH DEATHS DECENTRALIZATION DECISION MAKING DISEASE CONTROL DISTRICTS DOCTORS EMPLOYMENT ESSENTIAL DRUGS 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 OUTCOMES HEALTH POLICIES 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 INFANT MORTALITY RATES INFANTS LABORATORIES LAWS LOCAL GOVERNMENTS LOW INCOME MALARIA MALNUTRITION MEDIA MEDICAL CARE MEDICAL TREATMENT MEDICINES MORBIDITY MORTALITY NGOS NURSES NURSING NUTRITION NUTRITIONAL STATUS OCCUPANCY OCCUPANCY RATES OUTPATIENT CARE PARTNERSHIP PATIENTS PERSONALITY POVERTY REDUCTION PRIMARY CARE PRIMARY HEALTH CARE PRIVATE SECTOR PROFESSIONAL ORGANIZATIONS PROVIDER INCENTIVES PUBLIC HEALTH PUBLIC HOSPITALS PUBLIC SECTOR PUBLIC SERVICES RESIDENCES RURAL AREAS SAFETY SCHOOLS SELF CARE SUPERVISION SUSTAINABLE FINANCING UNIVERSITIES WORKERS 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	ALLIANCES BASIC HEALTH SERVICES CITIES COMMUNICABLE DISEASES COMMUNITY HEALTH DEATHS DECENTRALIZATION DECISION MAKING DISEASE CONTROL DISTRICTS DOCTORS EMPLOYMENT ESSENTIAL DRUGS 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 OUTCOMES HEALTH POLICIES 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 INFANT MORTALITY RATES INFANTS LABORATORIES LAWS LOCAL GOVERNMENTS LOW INCOME MALARIA MALNUTRITION MEDIA MEDICAL CARE MEDICAL TREATMENT MEDICINES MORBIDITY MORTALITY NGOS NURSES NURSING NUTRITION NUTRITIONAL STATUS OCCUPANCY OCCUPANCY RATES OUTPATIENT CARE PARTNERSHIP PATIENTS PERSONALITY POVERTY REDUCTION PRIMARY CARE PRIMARY HEALTH CARE PRIVATE SECTOR PROFESSIONAL ORGANIZATIONS PROVIDER INCENTIVES PUBLIC HEALTH PUBLIC HOSPITALS PUBLIC SECTOR PUBLIC SERVICES RESIDENCES RURAL AREAS SAFETY SCHOOLS SELF CARE SUPERVISION SUSTAINABLE FINANCING UNIVERSITIES WORKERS 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 World Bank Health Strategy in a Post-Crisis, Decentralizing Indonesia
geographic_facet	East Asia and Pacific Indonesia
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	Economic & Sector Work :: Pre-2003 Economic or Sector Report
author	World Bank
author_facet	World Bank
author_sort	World Bank
title	Health Strategy in a Post-Crisis, Decentralizing Indonesia
title_short	Health Strategy in a Post-Crisis, Decentralizing Indonesia
title_full	Health Strategy in a Post-Crisis, Decentralizing Indonesia
title_fullStr	Health Strategy in a Post-Crisis, Decentralizing Indonesia
title_full_unstemmed	Health Strategy in a Post-Crisis, Decentralizing Indonesia
title_sort	health strategy in a post-crisis, decentralizing indonesia
publisher	Washington, DC
publishDate	2013
url	http://documents.worldbank.org/curated/en/2000/11/1047333/indonesia-health-strategy-post-crisis-decentralizing-indonesia http://hdl.handle.net/10986/15707
_version_	1764426507731599360

Health Strategy in a Post-Crisis, Decentralizing Indonesia

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