by: Claudia Rokx, John Giles, Elan Satriawan, Puti Marzoeki, Pandu Harimurti, Elif Yavuz
Over the past decade, Indonesia has implemented significant health
sector reforms that include decentralizing responsibilities for service
delivery, designing incentives for health providers, increasing the
supply of midwives in remote areas, and analyzing demographic and
epidemiological transitions causing changes in the patterns of disease
prevalence. Financial protection against catastrophic expenditures has
improved substantially, and legislation has been enacted to improve the
quality of physician training and patient care.
Despite the progress, substantial challenges remain and include
comparatively low resources for the health sector, limitations in the
supply of providers at the primary and hospital levels, inefficient
payment systems, shortcomings in the quality of maternal and child and
adult care, lack of oversight and effective licensing in an expanding
private health sector, and ineffective planning for and recruitment and
retention of health workers.
Given the slow pace in improving health outcomes and limited
evidence linking health performance and the health workforce, the need
to make more information available about past experiences to inform
future policy changes is pressing. Few studies have been undertaken to
measure the actual impact of the reforms and the remaining challenges.
New Insights into the Provision of Health Services in Indonesia: A
Health Workforce Study begins the process, providing real time
evidence-based inputs to facilitate the Government of Indonesia’s
comprehensive health sector review. The authors’ analysis of
panel data from households and health providers will assist the
government’s assessment of the impact of past health work force
policies and its consideration of policy changes.
- Shipping Weight: 0.58 lbs (0.26 kgs)