Did the Health Card Program Ensure Access to Medical Care for the Poor during Indonesia’s Economic Crisis?

The Indonesian Social Safety Net health card program was implemented in response to the economic crisis that hit Indonesia in 1997, to preserve access to health care services for the poor. Health cards were allocated to poor households, entitling them to subsidized care from public health care provi...

Full description

Bibliographic Details
Main Authors:	Pradhan, Menno, Saadah, Fadia, Sparrow, Robert
Format:	Journal Article
Published:	World Bank 2012
Subjects:	clinics health care health outcomes health policy health services intervention nutrition outpatient care public health Social Studies
Online Access:	http://hdl.handle.net/10986/4449

id	okr-10986-4449
recordtype	oai_dc
spelling	okr-10986-44492021-04-23T14:02:17Z Did the Health Card Program Ensure Access to Medical Care for the Poor during Indonesia’s Economic Crisis? Pradhan, Menno Saadah, Fadia Sparrow, Robert clinics health care health outcomes health policy health services intervention nutrition outpatient care public health Social Studies The Indonesian Social Safety Net health card program was implemented in response to the economic crisis that hit Indonesia in 1997, to preserve access to health care services for the poor. Health cards were allocated to poor households, entitling them to subsidized care from public health care providers. The providers received budgetary support to compensate for the extra demand. This article focuses on the effect of the program on primary outpatient health care use, disentangling the direct effect of allocating health cards from the indirect effect of government transfers to health care facilities. For poor health card owners the program resulted in a net increase in use of outpatient care, while for nonpoor health card owners the program resulted mainly in a substitution from private to public health care. The largest effect of the program seems to have come from a general increase in the supply of public services resulting from the budgetary support to public providers. These benefits seem to have been captured mainly by the nonpoor. As a result, most of the benefits of the health card program went to the nonpoor, even though distribution of the health cards was propoor. The results suggest that had the program, in addition to targeting the poor, established a closer link between provision of services to the target groups and funding, the overall results would have been more propoor. 2012-03-30T07:12:35Z 2012-03-30T07:12:35Z 2007-01-30 Journal Article World Bank Economic Review 1564-698X http://hdl.handle.net/10986/4449 CC BY-NC-ND 3.0 IGO http://creativecommons.org/licenses/by-nc-nd/3.0/igo World Bank World Bank Journal Article 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
topic	clinics health care health outcomes health policy health services intervention nutrition outpatient care public health Social Studies
spellingShingle	clinics health care health outcomes health policy health services intervention nutrition outpatient care public health Social Studies Pradhan, Menno Saadah, Fadia Sparrow, Robert Did the Health Card Program Ensure Access to Medical Care for the Poor during Indonesia’s Economic Crisis?
geographic_facet	East Asia and Pacific Indonesia
description	The Indonesian Social Safety Net health card program was implemented in response to the economic crisis that hit Indonesia in 1997, to preserve access to health care services for the poor. Health cards were allocated to poor households, entitling them to subsidized care from public health care providers. The providers received budgetary support to compensate for the extra demand. This article focuses on the effect of the program on primary outpatient health care use, disentangling the direct effect of allocating health cards from the indirect effect of government transfers to health care facilities. For poor health card owners the program resulted in a net increase in use of outpatient care, while for nonpoor health card owners the program resulted mainly in a substitution from private to public health care. The largest effect of the program seems to have come from a general increase in the supply of public services resulting from the budgetary support to public providers. These benefits seem to have been captured mainly by the nonpoor. As a result, most of the benefits of the health card program went to the nonpoor, even though distribution of the health cards was propoor. The results suggest that had the program, in addition to targeting the poor, established a closer link between provision of services to the target groups and funding, the overall results would have been more propoor.
format	Journal Article
author	Pradhan, Menno Saadah, Fadia Sparrow, Robert
author_facet	Pradhan, Menno Saadah, Fadia Sparrow, Robert
author_sort	Pradhan, Menno
title	Did the Health Card Program Ensure Access to Medical Care for the Poor during Indonesia’s Economic Crisis?
title_short	Did the Health Card Program Ensure Access to Medical Care for the Poor during Indonesia’s Economic Crisis?
title_full	Did the Health Card Program Ensure Access to Medical Care for the Poor during Indonesia’s Economic Crisis?
title_fullStr	Did the Health Card Program Ensure Access to Medical Care for the Poor during Indonesia’s Economic Crisis?
title_full_unstemmed	Did the Health Card Program Ensure Access to Medical Care for the Poor during Indonesia’s Economic Crisis?
title_sort	did the health card program ensure access to medical care for the poor during indonesia’s economic crisis?
publisher	World Bank
publishDate	2012
url	http://hdl.handle.net/10986/4449
_version_	1764391417274171392

Did the Health Card Program Ensure Access to Medical Care for the Poor during Indonesia’s Economic Crisis?

Similar Items