Health system performance at the district level in Indonesia after decentralization
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چکیده
منابع مشابه
Health system performance at the district level in Indonesia after decentralization
BACKGROUND Assessments over the last two decades have showed an overall low level of performance of the health system in Indonesia with wide variation between districts. The reasons advanced for these low levels of performance include the low level of public funding for health and the lack of discretion for health system managers at the district level. When, in 2001, Indonesia implemented a rad...
متن کاملPublic funding of health at the district level in Indonesia after decentralization – sources, flows and contradictions
BACKGROUND During the Suharto era public funding of health in Indonesia was low and the health services were tightly controlled by the central government; district health staff had practically no discretion over expenditure. Following the downfall of President Suharto there was a radical political, administrative and fiscal decentralization with delivery of services becoming the responsibility ...
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BACKGROUND In 2001 Indonesia embarked on a rapid decentralization of government finances and functions to district governments. One of the results is that government has less information about its most valuable resource, the people who provide the services. The objective of the work reported here is to determine the stock of human resources for health in 15 districts, their service status and p...
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BACKGROUND At Independence the Government of Indonesia inherited a weak and unevenly distributed health system to which much of the population had only limited access. In response, the government decided to increase the number of facilities and to locate them closer to the people. To staff these health facilities the government introduced obligatory government service for all new graduates in m...
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BACKGROUND Poor quality of care and access to effective and affordable interventions have been attributed to constraints and bottlenecks within and outside the health system. However, there is limited understanding of health system barriers to utilization and delivery of appropriate, high-impact, and cost-effective interventions at the point of service delivery in districts and sub-districts in...
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ژورنال
عنوان ژورنال: BMC International Health and Human Rights
سال: 2010
ISSN: 1472-698X
DOI: 10.1186/1472-698x-10-3