Indonesia - Giving More Weight to Health : Assessing Fiscal Space for Health in Indonesia
This report analyzes fiscal space issues related to government health spending in Indonesia. Fiscal space refers to the ability of a government to increase expenditures for a desired purpose. In all likelihood, and for a variety of reasons, Indones...
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| Format: | Other Health Study |
| Language: | English |
| Published: |
World Bank
2012
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| Online Access: | http://www-wds.worldbank.org/external/default/main?menuPK=64187510&pagePK=64193027&piPK=64187937&theSitePK=523679&menuPK=64187510&searchMenuPK=64187283&siteName=WDS&entityID=000333038_20090320021954 http://hdl.handle.net/10986/3028 |
| Summary: | This report analyzes fiscal space issues
related to government health spending in Indonesia. Fiscal
space refers to the ability of a government to increase
expenditures for a desired purpose. In all likelihood, and
for a variety of reasons, Indonesia will need to boost
health spending in the near future as it expands access to
care through the expansion of Jamkesmas, the health
insurance scheme for the poor and near poor. In addition,
projections based on demographic and epidemiological changes
in the country indicate there is likely to be a significant
increase in the demand and need for health services and more
sophisticated care. Despite a tripling of the public budget
for health over the past five years, this increased need,
combined with the fact that Indonesia remains a
comparatively low spender on health, indicates that there
will continue to be upward pressure on resources for the
health sector in the near future. A number of different
drivers of fiscal space for health in Indonesia are
discussed in this paper. These include: (i) conducive
macroeconomic conditions; (ii) reprioritization of health
within the overall government budget; (iii) increasing
health-specific foreign aid and grants; (iv) an increase in
other health-specific resources; for example, through
earmarked taxation or the introduction of premiums for
mandatory health insurance; and (v) an increase in the
efficiency of government health outlays. In addition to
laying out the possibilities for Indonesia with regard to
each of these options, relevant international experiences
are also highlighted. |
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