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Health Financing in Indonesia : A Reform Road Map

Author

Listed:
  • Claudia Rokx
  • George Schieber
  • Ajay Tandon
  • Pandu Harimurti
  • Aparnaa Somanathan

Abstract

Indonesia is at a critical stage in the development and modernization of its health system. The government of Indonesia has made major improvements over the past four decades, but struggles to maintain and continue to improve important health outcomes for the poor and achieve the Millennium Development Goals. Nevertheless, some key health indicators show significant progress. Infant and child (under five) mortality rates have fallen by half since the early 1990s, although the speed of the decline appears to have slowed since 2002. Maternal mortality rates show a declining trend, but remain among the highest in East Asia. Indonesia's population program is one of the worlds most successful: fertility rates have declined impressively since the 1970s and continue to fall. Previously declining malnutrition rates among young children have, however, stagnated. The slowing down of progress may be explained by a poorly functioning health system as well as by new and ongoing challenges posed by demographic, epidemiological, and nutrition transitions, which require new policy directions, a reconfigured and better performing health system, and long-term sustainable financing.

Suggested Citation

  • Claudia Rokx & George Schieber & Ajay Tandon & Pandu Harimurti & Aparnaa Somanathan, 2009. "Health Financing in Indonesia : A Reform Road Map," World Bank Publications - Books, The World Bank Group, number 2710, December.
  • Handle: RePEc:wbk:wbpubs:2710
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    File URL: https://openknowledge.worldbank.org/bitstream/handle/10986/2710/501740PUB0REPL1UBLIC109780821380062.pdf?sequence=1
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    Citations

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    Cited by:

    1. Luca, Dara Lee & Bloom, David E., 2018. "The Returns to Parental Health: Evidence from Indonesia," IZA Discussion Papers 11987, Institute of Labor Economics (IZA).
    2. Xiaohui Hou, 2015. "Tobacco Consumption in Papua New Guinea," Health, Nutrition and Population (HNP) Knowledge Briefs 96795, The World Bank.
    3. Azam, Mehtabul, 2018. "Does Social Health Insurance Reduce Financial Burden? Panel Data Evidence from India," World Development, Elsevier, vol. 102(C), pages 1-17.
    4. Barış Alpaslan & King Yoong Lim & Yan Song, 2021. "Growth and welfare in mixed health system financing with physician dual practice in a developing economy: a case of Indonesia," International Journal of Health Economics and Management, Springer, vol. 21(1), pages 51-80, March.
    5. Meliala, Andreasta & Hort, Krishna & Trisnantoro, Laksono, 2013. "Addressing the unequal geographic distribution of specialist doctors in Indonesia: The role of the private sector and effectiveness of current regulations," Social Science & Medicine, Elsevier, vol. 82(C), pages 30-34.
    6. Budi Aji & Manuela De Allegri & Aurelia Souares & Rainer Sauerborn, 2013. "The Impact of Health Insurance Programs on Out-of-Pocket Expenditures in Indonesia: An Increase or a Decrease?," IJERPH, MDPI, vol. 10(7), pages 1-19, July.
    7. Sparrow, Robert & Suryahadi, Asep & Widyanti, Wenefrida, 2013. "Social health insurance for the poor: Targeting and impact of Indonesia's Askeskin programme," Social Science & Medicine, Elsevier, vol. 96(C), pages 264-271.
    8. Adam Wagstaff & Daniel Cotlear & Patrick Hoang-Vu Eozenou & Leander R. Buisman, 2016. "Measuring progress towards universal health coverage: with an application to 24 developing countries," Oxford Review of Economic Policy, Oxford University Press and Oxford Review of Economic Policy Limited, vol. 32(1), pages 147-189.
    9. Shono, Aiko & Kondo, Masahide & Ohmae, Hiroshi & Okubo, Ichiro, 2014. "Willingness to pay for public health services in rural Central Java, Indonesia: Methodological considerations when using the contingent valuation method," Social Science & Medicine, Elsevier, vol. 110(C), pages 31-40.
    10. Dara Lee Luca & David E. Bloom, 2018. "The Returns to Parental Health: Evidence from Indonesia," NBER Working Papers 25304, National Bureau of Economic Research, Inc.

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